Organization Active NPI

Steadfast Assisting LLC

  • Surgical Assistant
  • Boulder, CO
National Provider Identifier
1265180491
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
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

Updated by the provider on Mar 16, 2022

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)CodeLicenseStatePrimary
Surgical AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.