NPIMap

Organization Active NPI

Mobile Health Technology With Solutions

  • Nurse Practitioner
  • Denver, CO
National Provider Identifier
1306427547
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
MOBILE HEALTH TECHNOLOGY WITH SOLUTIONS
Practice address
12150 Andrews Dr
Denver, CO 80239-4441
Phone
(720) 449-6616
Fax
(720) 792-3458
NPI assigned
Apr 19, 2021
Last updated
Apr 23, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Suzan L Perreault
Title
Principal
Phone
(720) 449-6616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary

Addresses

Primary practice location

12150 Andrews Dr
Denver, CO 80239-4441

Mailing address

545 3Rd St Unit 2621
Monument, CO 80132-4606
Phone (720) 449-6616

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Denver Direct

National Provider Directory

National Provider Directory
Tax ID family
Mobile Health Technology With Solutions3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12150 Andrews Dr
Denver, CO 80239
Phone (720) 449-6616

NPI Registry JSON

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1306427547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 3RD ST UNIT 2621",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801324606",
            "telephone_number": "720-449-6616",
            "fax_number": "720-792-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 ANDREWS DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394441",
            "telephone_number": "720-449-6616",
            "fax_number": "720-792-3458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH TECHNOLOGY WITH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "PERREAULT",
        "authorized_official_first_name": "SUZAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "720-449-6616"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Denver",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Denver",
            "address_1": "12150 Andrews Dr",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802394441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.