Active NPI
Siegfried Jose Emme
- Nurse Practitioner
- Fort Collins, CO
National Provider Identifier
1225365968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 6012
- Practice address
- 1025 Pennock PL Ste 121
Fort Collins, CO 80524-3257 - Phone
- (970) 495-8980
- NPI assigned
- Nov 17, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 6012 | CO | Primary |
Addresses
Primary practice location
1025 Pennock PL Ste 121
Fort Collins, CO 80524-3257
Mailing address
4105 Plum Creek Dr
Loveland, CO 80538-8722
Phone (970) 227-0526
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 81078323 | Medicaid | CO |
Other names 1
- Siegfried J. Emme
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2026 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6012 | CO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1225365968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 PLUM CREEK DR",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388722",
"telephone_number": "970-227-0526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 PENNOCK PL STE 121",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243257",
"telephone_number": "970-495-8980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMME",
"first_name": "SIEGFRIED",
"middle_name": "JOSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-17",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "6012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "81078323",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SIEGFRIED",
"last_name": "EMME",
"middle_name": "J.",
"credential": "N.P.",
"code": "2",
"type": "Professional Name"
}
]
}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 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.