NPIMap

Organization Active NPI

Heart Center a Professional LLP

  • Specialist
  • Colorado Springs, CO
National Provider Identifier
1194936906
Registry record updated Feb 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HEART CENTER A PROFESSIONAL LLP
Practice address
525 N Foote Ave
309
Colorado Springs, CO 80909-4554
Phone
(719) 475-2794
Fax
(719) 475-1458
NPI assigned
May 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2014

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

Authorized official

Name
Dr. Susan Rae Jensen, MD
Title
Dr
Phone
(719) 475-2794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

525 N Foote Ave
309
Colorado Springs, CO 80909-4554

Mailing address

525 N Foote Ave
309
Colorado Springs, CO 80909-4554
Phone (719) 475-2794

Other identifiers 9

IdentifierTypeStateIssuer
04023875MedicaidCO
54583OtherKSBCBS
CC9064OtherMEMORIAL HEALTH SYSTEMS
16559264MedicaidCO
C810432OtherCOMEMORIAL HEALTH SYSTEMS
CG9404OtherCORAILROAD MEDICARE
01237551MedicaidCO
100144980MedicaidKS
CC5654OtherCOMEMORIAL HEALTH SYSTEMS

National Provider Directory

National Provider Directory

Locations

525 Bob Peters Grv
#30
Colorado Springs, CO 80909

525 Bob Peters Grv
#309
Colorado Springs, CO 80909
Phone (719) 475-2794

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392249600000",
    "number": "1194936906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N FOOTE AVE",
            "address_2": "309",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094554",
            "telephone_number": "719-475-2794",
            "fax_number": "719-475-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 N FOOTE AVE",
            "address_2": "309",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809094554",
            "telephone_number": "719-475-2794",
            "fax_number": "719-475-1458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART CENTER A PROFESSIONAL LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2014-02-13",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "719-475-2794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04023875",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "54583",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORIAL HEALTH SYSTEMS",
            "identifier": "CC9064",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16559264",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORIAL HEALTH SYSTEMS",
            "identifier": "C810432",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG9404",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01237551",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100144980",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEMORIAL HEALTH SYSTEMS",
            "identifier": "CC5654",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; 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.