Individual provider Active NPI

Vicki L Coulter, MD

  • Ophthalmology Physician
  • Lakewood, CO
National Provider Identifier
1326023912
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32160 Issued in CO
Practice address
13772 Denver West Pkwy
BLDG#55 Ste#100
Lakewood, CO 80401-3139
Phone
(303) 279-6600
Fax
(303) 279-9140
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 32160 CO Primary

Addresses

Primary practice location

13772 Denver West Pkwy
BLDG#55 Ste#100
Lakewood, CO 80401-3139

Mailing address

13772 Denver West Pkwy
BLDG#55 Ste#100
Lakewood, CO 80401-3139
Phone (303) 279-6600

Other identifiers 2

IdentifierTypeStateIssuer
1321603MedicaidCO
K2868OtherCOMEDICARE LEGACY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32160COMDOphthalmology Physician

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1326023912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY",
            "address_2": "BLDG#55 STE#100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013139",
            "telephone_number": "303-279-6600",
            "fax_number": "303-279-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13772 DENVER WEST PKWY",
            "address_2": "BLDG#55 STE#100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013139",
            "telephone_number": "303-279-6600",
            "fax_number": "303-279-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COULTER",
        "first_name": "VICKI",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "32160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1321603",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "K2868",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.