NPIMap

Organization Active NPI

Grand Mesa Spine and Sport, LLC

Doing business as Colorado Injury and Pain Specialists

  • Certified Registered Nurse Anesthetist
  • Grand Junction, CO
National Provider Identifier
1316333115
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
GRAND MESA SPINE AND SPORT, LLC
Doing business as
Colorado Injury and Pain Specialists
Practice address
201 W Park Dr
Grand Junction, CO 81505-1469
Phone
(970) 242-0162
Fax
(970) 242-1097
NPI assigned
Apr 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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

Authorized official

Name
Leilani Harmon
Title
Billing Director
Phone
(419) 843-1370

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X Primary

Addresses

Primary practice location

201 W Park Dr
Grand Junction, CO 81505-1469

Mailing address

7071 W Central Ave
Toledo, OH 43617-2700
Phone (419) 843-1370

Other names 1

  • COLORADO INJURY AND PAIN SPECIALISTS Doing business as

National Provider Directory

National Provider Directory

Locations

201 W Park Dr
Ste 100
Grand Junction, CO 81505
Phone (970) 242-0162

Practitioners & affiliated clinicians

Practitioners 12

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": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1316333115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7071 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436172700",
            "telephone_number": "419-843-1370",
            "fax_number": "419-843-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W PARK DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815051469",
            "telephone_number": "970-242-0162",
            "fax_number": "970-242-1097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND MESA SPINE AND SPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "LEILANI",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "419-843-1370"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLORADO INJURY AND PAIN SPECIALISTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; 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.