Active NPI
Chriesl Infusion Centers LLC
- Nurse Practitioner
- Westminster, CO
National Provider Identifier
1215633045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- CHRIESL INFUSION CENTERS LLC
- Practice address
- 8758 Wolff CT Ste 205
Westminster, CO 80031-6904 - Phone
- (720) 400-7025
- Fax
- (720) 400-7049
- NPI assigned
- Feb 2, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher James Perez, APRN-CRNA
- Title
- Ceo
- Phone
- (720) 372-1205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
8758 Wolff CT Ste 205
Westminster, CO 80031-6904
Mailing address
1444 S Potomac St Ste 220
Aurora, CO 80012-4509
Phone (720) 400-7025
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000189133 | Medicaid | CO |
Other names 1
- Axis Integrated Mental Health
National Provider Directory
National Provider Directory- Tax ID family
- Chriesl Infusion Centers LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Superior, CO
- NPI 1821779232
Locations
8758 Wolff Ct
Ste 205
Westminster, CO 80031
Phone (303) 578-6336
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675296000000",
"number": "1215633045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 S POTOMAC ST STE 220",
"city": "AURORA",
"state": "CO",
"postal_code": "800124509",
"telephone_number": "720-400-7025",
"fax_number": "720-400-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8758 WOLFF CT STE 205",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "800316904",
"telephone_number": "720-400-7025",
"fax_number": "720-400-7049"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRIESL INFUSION CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-02",
"last_updated": "2023-02-02",
"certification_date": "2023-02-02",
"status": "A",
"authorized_official_last_name": "PEREZ",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "720-372-1205",
"authorized_official_credential": "APRN-CRNA"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9000189133",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Axis Integrated Mental Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.