Organization Active NPI

Centennial Womens Health

  • Specialist
  • Longmont, CO
National Provider Identifier
1336399989
Registry record updated Feb 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
29546 Issued in CO
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2010

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01295468MedicaidCO
04484011MedicaidCO
1336399989MedicaidCO

National Provider Directory

National Provider Directory
Tax ID family
Centennial Women's Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

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.

Verify at the official NPI Registry.