NPIMap

Organization Active NPI

Julie Devita-Bailey, D.O., P.C.

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1205067089
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
44663 Issued in CO
Legal business name
JULIE DEVITA-BAILEY, D.O., P.C.
Practice address
1212 E Elizabeth St
Fort Collins, CO 80524-4007
Phone
(970) 482-2791
NPI assigned
Jul 28, 2009
Last updated
Sep 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Julie Devita-Bailey, D.O.NPI 1194703926
Title
Family Physician
Phone
(970) 417-9171

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 44663 CO Primary

Addresses

Primary practice location

1212 E Elizabeth St
Fort Collins, CO 80524-4007

Mailing address

1433 Pikes Peak Ave
Fort Collins, CO 80524-4313
Phone (970) 249-0798

Other identifiers 1

IdentifierTypeStateIssuer
53752244MedicaidCO

National Provider Directory

National Provider Directory

Locations

222 S Nevada Ave
Montrose, CO 81401
Phone (970) 240-4606

Practitioners & affiliated clinicians

Practitioners 22

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.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1205067089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 PIKES PEAK AVE",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244313",
            "telephone_number": "970-249-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 E ELIZABETH ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244007",
            "telephone_number": "970-482-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE DEVITA-BAILEY, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "DEVITA-BAILEY",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN",
        "authorized_official_telephone_number": "970-417-9171",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "44663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53752244",
            "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 Sep 24, 2015; 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.