Individual provider Active NPI

Mindy Gay Willits, RN NP

  • Obstetrics & Gynecology Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1184976169
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
22446 Issued in CO
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, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
22446COMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
OB-GYN Affiliates PastSince Jun 7, 2020 Accepting new patients
OB-GYN Affiliates PastSince Feb 1, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.