Active NPI
Michael Fine
- Registered Nurse
- Fort Collins, CO
National Provider Identifier
1205379898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN0187413
- Practice address
- 2302 Bowside Dr
Fort Collins, CO 80524-6812 - Phone
- (970) 576-5212
- NPI assigned
- Nov 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN0187413 | CO | Primary |
Addresses
Primary practice location
2302 Bowside Dr
Fort Collins, CO 80524-6812
Mailing address
2500 S Parker Rd
Aurora, CO 80014-6812
Phone (720) 506-9950
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0187413 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480464000000",
"number": "1205379898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 S PARKER RD",
"city": "AURORA",
"state": "CO",
"postal_code": "800146812",
"telephone_number": "720-506-9950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2302 BOWSIDE DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805246812",
"telephone_number": "970-576-5212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINE",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-11-30",
"last_updated": "2016-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN0187413",
"primary": true
}
],
"identifiers": [],
"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 Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.