Active NPI
Whitney Phipps-Samaniego
- Specialist
- Broomfield, CO
National Provider Identifier
1255701082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT.0013885
- Practice address
- 88 Lamar St
Suite 104
Broomfield, CO 80020-2498 - Phone
- (303) 410-8910
- NPI assigned
- Oct 6, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MT.0013885 | CO | Primary |
Addresses
Primary practice location
88 Lamar St
Suite 104
Broomfield, CO 80020-2498
Mailing address
88 Lamar St
Suite 104
Broomfield, CO 80020-2498
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 |
|---|---|---|---|
| MT.0013885 | CO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444089600000",
"number": "1255701082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "88 LAMAR ST",
"address_2": "SUITE 104",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 LAMAR ST",
"address_2": "SUITE 104",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800202498",
"telephone_number": "303-410-8910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHIPPS-SAMANIEGO",
"first_name": "WHITNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-06",
"last_updated": "2015-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "MT.0013885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
- Savivan Phanekham, PHARMD
- Pharmacy Corporation of America (Pharmerica)
- Phase Pro Corporation
- Gayle Phillips
- Joy Christina Phillips, LCSW
- Physicians Medical Management Professionals (Arbor Occupational Medicine)
- Physiotherapy Associates Inc
- Shira L Pipkin, O.D.
- John Aaron Pitts, M.D.
- Melissa Pizzo, LPC, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.