Organization Active NPI

Colorado Preventative Medicine, Inc

  • Clinic/Center
  • Morrison, CO
National Provider Identifier
1225419807
Registry record updated Sep 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
0055110 Issued in CO
Legal business name
COLORADO PREVENTATIVE MEDICINE, INC
Practice address
6098 Willow Springs Dr
Morrison, CO 80465-2115
Phone
(707) 339-1976
NPI assigned
Jun 9, 2015
Last updated
Sep 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2016

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

Authorized official

Name
Dr. Catherine Shanahan, MDNPI 1740205780
Title
President
Phone
(707) 339-1976

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
Clinic/Center 261Q00000X 0055110 CO Primary

Addresses

Primary practice location

6098 Willow Springs Dr
Morrison, CO 80465-2115

Mailing address

6098 Willow Springs Dr
Morrison, CO 80465-2115
Phone (707) 339-1976

National Provider Directory

National Provider Directory

Locations

333 W Hampden Ave
Ste 800
Englewood, CO 80110
Phone (303) 789-5195

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473897600000",
    "number": "1225419807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6098 WILLOW SPRINGS DR",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804652115",
            "telephone_number": "707-339-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6098 WILLOW SPRINGS DR",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804652115",
            "telephone_number": "707-339-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLORADO PREVENTATIVE MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2016-09-15",
        "status": "A",
        "authorized_official_last_name": "SHANAHAN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-339-1976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CO",
            "license": "0055110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrison, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.