Active NPI
Centennial Womens Health
- Specialist
- Longmont, CO
National Provider Identifier
1336399989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 29546
- Legal business name
- CENTENNIAL WOMENS HEALTH
- Practice address
- 231 E 9TH Ave
Longmont, CO 80504-4686 - Phone
- (303) 651-2800
- NPI assigned
- Sep 19, 2008
- Last updated
- Feb 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. M Therese Barrett
- Title
- Owner
- Phone
- (303) 651-2800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 29546 | CO | Primary |
Addresses
Primary practice location
231 E 9TH Ave
Longmont, CO 80504-4686
Mailing address
231 E 9TH Ave
Suite 1a
Longmont, CO 80504-4686
Phone (303) 651-2800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01295468 | Medicaid | CO | |
| 04484011 | Medicaid | CO | |
| 1336399989 | Medicaid | CO |
National Provider Directory
National Provider Directory- Tax ID family
- Centennial Women's Health Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Centennial Women's Health Center
- Specialist
- Longmont, CO
- NPI 1568669943
Locations
231 E 9th Ave
Longmont, CO 80504
Phone (303) 651-2800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Specialist
- Longmont, CO
- NPI 1902983976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266278400000",
"number": "1336399989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 E 9TH AVE",
"address_2": "SUITE 1A",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805044686",
"telephone_number": "303-651-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 E 9TH AVE",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805044686",
"telephone_number": "303-651-2800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTENNIAL WOMENS HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-19",
"last_updated": "2010-02-16",
"status": "A",
"authorized_official_last_name": "BARRETT",
"authorized_official_first_name": "M THERESE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-651-2800",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "29546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01295468",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04484011",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1336399989",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.