Active NPI
Steadfast Assisting LLC
- Surgical Assistant
- Boulder, CO
National Provider Identifier
1265180491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Legal business name
- STEADFAST ASSISTING LLC
- Practice address
- 4955 Moorhead Ave Apt 2
Boulder, CO 80305-5546 - Phone
- (202) 420-9459
- NPI assigned
- Mar 16, 2022
- 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
- Mr. Aric Jackson, CSFA
- Title
- President
- Phone
- (202) 420-9459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
4955 Moorhead Ave Apt 2
Boulder, CO 80305-5546
Mailing address
4955 Moorhead Ave Apt 2
Boulder, CO 80305-5546
Phone (202) 420-4959
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1265180491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4955 MOORHEAD AVE APT 2",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055546",
"telephone_number": "202-420-4959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 MOORHEAD AVE APT 2",
"city": "BOULDER",
"state": "CO",
"postal_code": "803055546",
"telephone_number": "202-420-9459"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEADFAST ASSISTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "ARIC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "202-420-9459",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CSFA"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.