Blue Nile Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BLUE NILE CLINIC

Practice address

11275 E Mississippi Ave Ste 2S3
Aurora, CO 80012-2825

Phone

(720) 400-4412

NPI assigned

Jul 20, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Hana Mengesha, REGISTERED NURSENPI 1366838971

Title

Owner

Phone

(720) 400-4412

Specialties & licenses 1

Addresses

Other names 1

• BLUE NILE CLINIC Doing business as

Practitioners 1

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

• Hana Mengesha

  • General Practice Registered Nurse
  • Aurora, CO
  • NPI 1366838971
  NPD Authorized official

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

{
    "created_epoch": "1500508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346763448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE STE 2S3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122825",
            "telephone_number": "720-400-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 E MISSISSIPPI AVE STE 2S3",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800122825",
            "telephone_number": "720-400-4412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE NILE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MENGESHA",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-400-4412",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLUE NILE CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blossoming Minds LLC
• Kaitlin Blotske, PHARMD
• Kathryn Bloxsom, RD
• Blue Channel Therapy
• Blue Mesa Dental Assoc PC
• Blue Nile Clinic Lab
• Blue Nile Primary Care, LLC
• Blue Sprig Pediatrics
• Blue Wings Home Care LLC
• Allison Bluhm, RN

• Family Medicine Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.