Vivo Infusion Colorado, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

VIVO INFUSION COLORADO, LLC

Practice address

2425 Canyon Blvd Ste F
Boulder, CO 80302-6736

Phone

(855) 478-1528

NPI assigned

Sep 6, 2023

Last updated

Sep 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue Ellen Rottura

Title

Chief Operating Officer

Phone

(561) 323-8987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Vivo Infusion Colorado, LLC

  • Infusion Therapy Clinic/Center
  • Westminster, CO
  • NPI 1689382277

  2769854884

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

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.

• Stuart S Kassan, MD

  • Rheumatology Physician
  • Denver, CO
  • NPI 1093706475
  Medicare reassignment NPD
• Jessica Elise Martinez

  • Family Nurse Practitioner
  • Boulder, CO
  • NPI 1699515148
  Medicare reassignment NPD
• Jessica Elizabeth Wert, FNP-C

  • Family Nurse Practitioner
  • Denver, CO
  • NPI 1083312532
  Medicare reassignment NPD
• Amanda Marie Zuber, AGNP

  • Gerontology Nurse Practitioner
  • Denver, CO
  • NPI 1215493747

  Single Specialty

  Medicare reassignment NPD
• Leeann Dam, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1275924169

  CO

  Medicare reassignment NPD
• Sharon Sims, APRN

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1689299612

  CO

  Medicare reassignment NPD
• Morgan Rebecca Owens, FNP

  • Family Nurse Practitioner
  • Denver, CO
  • NPI 1033976295
  Medicare reassignment

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1366228140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 COLE BLVD STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 CANYON BLVD STE F",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803026736",
            "telephone_number": "855-478-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVO INFUSION COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "ROTTURA",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "561-323-8987"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Virant, LPC
• Vision Associates PC
• Vista Counseling, PLLC
• Nelly Vitoria
• Vive LLC
• Zoe E Vlastos, LPC
• Frank Voci, NBC-HWC
• Christine Vogel
• Joann Vogeli, PHD
• Muranda Vogt, LMT

• Infusion Therapy Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Infusion Therapy Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.