Organization Active NPI

Daily Apple Clinic, Inc.

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1306452230
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
DAILY APPLE CLINIC, INC.
Practice address
3570 E 12TH Ave Ste 203
Denver, CO 80206-3434
Phone
(720) 593-8989
NPI assigned
Sep 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Paul Reynolds, NURSE PRACTITIONERNPI 1306493622
Title
Owner
Phone
(720) 593-8989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

3570 E 12TH Ave Ste 203
Denver, CO 80206-3434

Mailing address

3570 E 12TH Ave Ste 203
Denver, CO 80206-3434
Phone (720) 593-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201019000155 CO Part B Supplier - Clinic/Group Practice 9234559972 Receives reassigned benefits from 2 practitioners
Practice locations: Denver, CO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2197719Daily Apple Clinic3570 E 12TH Ave, Suite 203, Denver, CO 80206Certificate of waiverOct 26, 2026

National Provider Directory

National Provider Directory

Locations

3570 E 12th Ave
Ste 203
Denver, CO 80206
Phone (720) 593-8989

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1306452230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 E 12TH AVE STE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063434",
            "telephone_number": "720-593-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 E 12TH AVE STE 203",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802063434",
            "telephone_number": "720-593-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAILY APPLE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-593-8989",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Sep 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.