Organization Active NPI

Louisville Medical Center, 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
Practice address
1017 E South Boulder Rd Ste a
Louisville, CO 80027-2547
Phone
(303) 666-7717
NPI assigned
Sep 16, 2014
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.
Title
President
Phone
(303) 666-7717

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) 579-1451

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.