Active NPI
Megan Mack
- Nurse's Aide
- Colorado City, CO
National Provider Identifier
1285185694
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- NA. 00767599
- Practice address
- 2773 Applewood Dr
Colorado City, CO 81019 - Phone
- (719) 248-1745
- NPI assigned
- Oct 20, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | NA. 00767599 | CO | Primary |
Addresses
Primary practice location
2773 Applewood Dr
Colorado City, CO 81019
Mailing address
PO Box 152
Rye, CO 81069-0152
Phone (719) 248-1745
Other names 1
- Megan Rader
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA. 00767599 | CO | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476921600000",
"number": "1285185694",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 152",
"city": "RYE",
"state": "CO",
"postal_code": "810690152",
"telephone_number": "719-248-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2773 APPLEWOOD DR",
"city": "COLORADO CITY",
"state": "CO",
"postal_code": "81019",
"telephone_number": "719-248-1745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACK",
"first_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-20",
"last_updated": "2016-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "CO",
"license": "NA. 00767599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MEGAN",
"last_name": "RADER",
"credential": "C.N.A.",
"code": "1",
"type": "Former Name"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.