Nikki Montoya Sides, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

48997 Issued in CO

Practice address

2930 11TH Ave
Evans, CO 80620-1011

Phone

(970) 353-9403

Fax

(970) 353-9990

NPI assigned

Sep 7, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nikki.sides.1@27043.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunrise Community Health

  • Federally Qualified Health Center (FQHC)
  • Loveland, CO
  • NPI 1902005382
  Medicare reassignment NPD
• Sunrise Community Health

  • Federally Qualified Health Center (FQHC)
  • Evans, CO
  • NPI 1295732048
  NPD
• Sunrise Community Health

  • Federally Qualified Health Center (FQHC)
  • Loveland, CO
  • NPI 1700690252
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358726400000",
    "number": "1275840670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-353-9403",
            "fax_number": "970-353-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "970-353-9403",
            "fax_number": "970-353-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIDES",
        "first_name": "NIKKI",
        "middle_name": "MONTOYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-07",
        "last_updated": "2013-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "48997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16639774",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Dineen Scott-Kitzman, FNP
• Hannah Elizabeth Sellnow, PA-C
• Elizabeth Sewczak, FNP
• Pamela S Shubin, FNP
• Peter Shumate, M.A.
• Lauren Marie Siewert, PA-C
• Ximena Sifuentes
• Ciani Kate Sosa, FNP
• David James Sosa
• Spectrum Therapy, PLLC

• Pediatrics Physician in Evans, CO
• Providers in Evans, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.