Organization Active NPI

Greenway Health

  • Family Medicine Physician
  • Erie, CO
National Provider Identifier
1295539120
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GREENWAY HEALTH
Practice address
720 Austin Ave Ste 103
Erie, CO 80516-2422
Phone
(205) 901-2879
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Authorized official

Name
Kristy Spainhour
Title
Revenue Cycle Manager
Phone
(205) 901-2879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

720 Austin Ave Ste 103
Erie, CO 80516-2422

Mailing address

4301 W Boy Scout Blvd
Tampa, FL 33607-5709

National Provider Directory

National Provider Directory

Locations

4301 W Boy Scout Blvd
Tampa, FL 33607

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743465600000",
    "number": "1295539120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 W BOY SCOUT BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336075709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 AUSTIN AVE STE 103",
            "city": "ERIE",
            "state": "CO",
            "postal_code": "805162422",
            "telephone_number": "205-901-2879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A",
        "authorized_official_last_name": "SPAINHOUR",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "205-901-2879"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.