Active NPI
Mindy Gay Willits, RN NP
- Obstetrics & Gynecology Nurse Practitioner
- Englewood, CO
National Provider Identifier
1184976169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 22446
- Practice address
- 499 E Hampden Ave Ste 190
Englewood, CO 80113-3875 - Phone
- (303) 788-0808
- Fax
- (720) 259-4566
- NPI assigned
- Oct 15, 2012
- Last updated
- Oct 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 22446 | CO | Primary |
Addresses
Primary practice location
499 E Hampden Ave Ste 190
Englewood, CO 80113-3875
Mailing address
499 E Hampden Ave Ste 190
Englewood, CO 80113-3875
Phone (303) 788-0808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22446 | CO | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OB-GYN Affiliates | Past | Accepting new patients | |
| OB-GYN Affiliates | Past | Accepting new patients |
Interoperability endpoints
- mindy.willits.2@8558.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Obstetrics & Gynecology Physician
- Englewood, CO
- NPI 1003430984
-
- Obstetrics & Gynecology Physician
- Littleton, CO
- NPI 1134185721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350259200000",
"number": "1184976169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "499 E HAMPDEN AVE STE 190",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133875",
"telephone_number": "303-788-0808",
"fax_number": "720-259-4566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 E HAMPDEN AVE STE 190",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133875",
"telephone_number": "303-788-0808",
"fax_number": "720-259-4566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLITS",
"first_name": "MINDY",
"middle_name": "GAY",
"name_prefix": "Mrs.",
"credential": "RN NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-15",
"last_updated": "2012-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CO",
"license": "22446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.