Organization Active NPI

Cottonwood Holistic Family Health

  • Family Medicine Physician
  • Durango, CO
National Provider Identifier
1285723890
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01356062MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.