Active NPI
Mountain View Family Medicine
- Family Medicine Physician
- Fort Collins, CO
National Provider Identifier
1164557088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MOUNTAIN VIEW FAMILY MEDICINE
- Practice address
- 2121 E Harmony Rd
# 310
Fort Collins, CO 80528-3400 - Phone
- (970) 221-3855
- Fax
- (970) 212-1238
- NPI assigned
- Feb 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Tamlyn
- Title
- Cfo
- Phone
- (970) 221-3855
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2121 E Harmony Rd
# 310
Fort Collins, CO 80528-3400
Mailing address
2121 E Harmony Rd
# 310
Fort Collins, CO 80528-3400
Phone (970) 221-3855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04020186 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0924141 | Mountain View Family Medicine | Provider-performed microscopy | Jan 20, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fort Collins, CO
- NPI 1295737526
-
- Family Medicine Physician
- Fort Collins, CO
- NPI 1811989064
-
- Family Medicine Physician
- Fort Collins, CO
- NPI 1841383338
-
- Family Nurse Practitioner
- Fort Collins, CO
- NPI 1124985593
-
- Family Nurse Practitioner
- Fort Collins, CO
- NPI 1851921050
-
- Family Nurse Practitioner
- Fort Collins, CO
- NPI 1346072881
-
- Physician Assistant
- Longmont, CO
- NPI 1437524147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164557088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "# 310",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-221-3855",
"fax_number": "970-212-1238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E HARMONY RD",
"address_2": "# 310",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283400",
"telephone_number": "970-221-3855",
"fax_number": "970-212-1238"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN VIEW FAMILY MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TAMLYN",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "970-221-3855",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04020186",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.