Individual provider Active NPI

Harry J Aragon, APN

  • Adult Health Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1366959363
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0993567-NP Issued in CO
Practice address
311 W 14TH St
Pueblo, CO 81003-2705
Phone
(719) 584-7585
NPI assigned
Dec 29, 2017
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0993567-NP CO
Adult Health Nurse Practitioner 363LA2200X APN.0993567-NP CO Primary
Gerontology Nurse Practitioner 363LG0600X APN.0993567-NP CO

Addresses

Primary practice location

311 W 14TH St
Pueblo, CO 81003-2705

Mailing address

PO Box 560825
Denver, CO 80256-0825
Phone (719) 595-7580

Other identifiers 1

IdentifierTypeStateIssuer
9000156183MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180112000058 CO Practitioner - Nurse Practitioner 8426317710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Colorado Clinic PCGroup PAC ID 4284524067, 36 clinicians

Practice addresses (Care Compare)

3676 Parker Blvd
Suite 290
Pueblo, CO 81008-2214
Phone (719) 553-2200

3937 Ivywood LN
Pueblo, CO 81005-2551
Phone (719) 553-0111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Colorado Clinic PC CurrentSince Jun 1, 2018 Accepting new patients
Southern Colorado Clinic PC Past Accepting new patients

Locations

3676 Parker Blvd
Ste 230
Pueblo, CO 81008
Phone (719) 553-2200

3676 Parker Blvd
Ste 260
Pueblo, CO 81008
Phone (719) 553-2201

3676 Parker Blvd
Ste 290
Pueblo, CO 81008
Phone (719) 553-2200

3937 Ivywood Ln
Pueblo, CO 81005
Phone (719) 553-0111

4112 Outlook Blvd
Ste 255
Pueblo, CO 81008
Phone (719) 253-7640

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1366959363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 560825",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802560825",
            "telephone_number": "719-595-7580",
            "fax_number": "719-545-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 14TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032705",
            "telephone_number": "719-584-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARAGON",
        "first_name": "HARRY",
        "middle_name": "J",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-29",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0993567-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0993567-NP",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0993567-NP",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000156183",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.