Organization Active NPI

Rocky Mountain Family Practice

  • Family Medicine Physician
  • Longmont, CO
National Provider Identifier
1184633364
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROCKY MOUNTAIN FAMILY PRACTICE
Practice address
205 S Main St Ste B
Longmont, CO 80501-1714
Phone
(303) 772-6244
Fax
(303) 702-1623
NPI assigned
Aug 5, 2006
Last updated
Apr 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
James M Fretwell, M.D.NPI 1053331603
Title
Owner/President
Phone
(303) 772-6244

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CO Primary

Addresses

Primary practice location

205 S Main St Ste B
Longmont, CO 80501-1714

Mailing address

205 S Main St
Suite B
Longmont, CO 80501-1716
Phone (303) 772-6244

Other identifiers 1

IdentifierTypeStateIssuer
83350870MedicaidCO

National Provider Directory

National Provider Directory

Locations

205 S Main St
Ste B
Longmont, CO 80501
Phone (303) 772-6244

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1184633364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST",
            "address_2": "SUITE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011716",
            "telephone_number": "303-772-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S MAIN ST STE B",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805011714",
            "telephone_number": "303-772-6244",
            "fax_number": "303-702-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "FRETWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "303-772-6244",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "83350870",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.