Active NPI
Mark Baravik FNP LLC
- Family Nurse Practitioner
- Aurora, CO
National Provider Identifier
1235683038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0990941
- Legal business name
- MARK BARAVIK FNP LLC
- Practice address
- 1550 S Potomac St Ste 110
Aurora, CO 80012-5433 - Phone
- (303) 536-5020
- Fax
- (888) 571-6309
- NPI assigned
- Aug 9, 2016
- 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
- Mark Baravik
- Title
- Owner
- Phone
- (303) 536-5020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0990941 | CO | Primary |
| Family Nurse Practitioner | 363LF0000X | APN0990941 |
Addresses
Primary practice location
1550 S Potomac St Ste 110
Aurora, CO 80012-5433
Mailing address
1550 S Potomac St Ste 110
Aurora, CO 80012-5433
Phone (303) 536-5020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir4.healow.com/fhir/r4/HGGBDD
- https://api.platform.athenahealth.com/14303/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Aurora, CO
- NPI 1033547252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731283200000",
"number": "1235683038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 S POTOMAC ST STE 110",
"city": "AURORA",
"state": "CO",
"postal_code": "800125433",
"telephone_number": "303-536-5020",
"fax_number": "888-571-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 S POTOMAC ST STE 110",
"city": "AURORA",
"state": "CO",
"postal_code": "800125433",
"telephone_number": "303-536-5020",
"fax_number": "888-571-6309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK BARAVIK FNP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-09",
"last_updated": "2024-11-11",
"certification_date": "2024-11-11",
"status": "A",
"authorized_official_last_name": "BARAVIK",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-536-5020"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "0990941",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": "APN0990941",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.