Active NPI
Cottonwood Holistic Family Health
- Family Medicine Physician
- Durango, CO
National Provider Identifier
1285723890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COTTONWOOD HOLISTIC FAMILY HEALTH
- Practice address
- 3600 Main Ave
Suite C
Durango, CO 81301-4031 - Phone
- (970) 259-7171
- Fax
- (970) 259-7176
- NPI assigned
- Oct 12, 2006
- Last updated
- Nov 19, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Suzanne Renee Ciotti, MD
- Title
- Secretary Physician
- Phone
- (970) 259-7171
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
3600 Main Ave
Suite C
Durango, CO 81301-4031
Mailing address
3600 Main Ave
Suite C
Durango, CO 81301-4031
Phone (970) 259-7171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01356062 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
3473 Main Ave
Ste 14
Durango, CO 81301
Phone (970) 259-5303
3600 Main Ave
Ste C
Durango, CO 81301
Phone (970) 259-7171
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Durango, CO
- NPI 1649793175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227052800000",
"number": "1285723890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 MAIN AVE",
"address_2": "SUITE C",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014031",
"telephone_number": "970-259-7171",
"fax_number": "970-259-7176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 MAIN AVE",
"address_2": "SUITE C",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014031",
"telephone_number": "970-259-7171",
"fax_number": "970-259-7176"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COTTONWOOD HOLISTIC FAMILY HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-12",
"last_updated": "2008-11-19",
"status": "A",
"authorized_official_last_name": "CIOTTI",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "SECRETARY PHYSICIAN",
"authorized_official_telephone_number": "970-259-7171",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01356062",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.