Organization Active NPI

Louisville Medical Center, Inc

Doing business as Louisville Spinal Rehabilitation, Inc

  • Family Nurse Practitioner
  • Louisville, CO
National Provider Identifier
1265833776
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0124821 Issued in CO
Legal business name
LOUISVILLE MEDICAL CENTER, INC
Doing business as
Louisville Spinal Rehabilitation, Inc
Practice address
1017 E South Boulder Rd Ste a
Louisville, CO 80027-2547
Phone
(303) 666-7717
NPI assigned
Sep 16, 2014
Last updated
Mar 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Dr. Nicholas Wayne Hamilton, D.C.NPI 1437585247
Title
President
Phone
(303) 666-7717

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
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 0124821 CO Primary

Addresses

Primary practice location

1017 E South Boulder Rd Ste a
Louisville, CO 80027-2547

Mailing address

1017 E South Boulder Rd Ste a
Louisville, CO 80027-2547
Phone (303) 666-7717

Other names 1

  • Louisville Spinal Rehabilitation, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

1017 S Boulder Rd
Louisville, CO 80027
Phone (303) 666-7110

Practitioners & affiliated clinicians

Practitioners 1

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": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1265833776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E SOUTH BOULDER RD STE A",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272547",
            "telephone_number": "303-666-7717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E SOUTH BOULDER RD STE A",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800272547",
            "telephone_number": "303-666-7717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISVILLE MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-666-7717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0124821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Spinal Rehabilitation, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.