South Pointe Occupational Medicine and Family Practice LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

32068 Issued in CO

Legal business name

SOUTH POINTE OCCUPATIONAL MEDICINE AND FAMILY PRACTICE LLC

Practice address

150 Old Laramie Trail
Suite 210
Lafayette, CO 80026-7085

Phone

(970) 351-3030

NPI assigned

Sep 9, 2010

Reactivated

Dec 4, 2017

Last updated

Apr 8, 2021By 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

Tara Campbell

Title

Manager

Phone

(970) 351-2412

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Nathan C Ginn, DC

  • Rehabilitation Chiropractor
  • Greeley, CO
  • NPI 1649488339
  NPD

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

{
    "created_epoch": "1283990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1396052544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OLD LARAMIE TRAIL",
            "address_2": "SUITE 210",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267085",
            "telephone_number": "970-351-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 OLD LARAMIE TRAIL",
            "address_2": "SUITE 210",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267085",
            "telephone_number": "970-351-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH POINTE OCCUPATIONAL MEDICINE AND FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-09",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "deactivation_date": "2017-11-28",
        "reactivation_date": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-351-2412"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "32068",
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "CO",
            "license": "32068",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01320688",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solution Space, LLC
• Jennifer Sommers, DPT
• Grace Sonderman, OTR/L
• Sonja Hellman, PHD, LLC
• South Pointe Chiropractic (South Pointe Physical Rehab)
• Southpoint Urgent Care LLC
• Ramona Sowa
• Steven T Spatz
• Speech-Language Associates
• Douglas Spencer, DO

• Primary Care Clinic/Center in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2021; 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.