NPIMap

Organization Active NPI

Align Medical Center

  • Family Nurse Practitioner
  • Wellington, CO
National Provider Identifier
1396338901
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ALIGN MEDICAL CENTER
Doing business as
Align Medical Center
Practice address
6557 Buttercup Dr Unit 6
Wellington, CO 80549-2396
Phone
(307) 222-2337
Fax
(970) 363-1441
NPI assigned
Feb 15, 2021
Last updated
Nov 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Authorized official

Name
Stephanie J Speetzen, FNPNPI 1386125631
Title
Manager
Phone
(320) 420-3961

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary
Chiropractor 111N00000X NU

Addresses

Primary practice location

6557 Buttercup Dr Unit 6
Wellington, CO 80549-2396

Mailing address

6557 Buttercup Dr Unit 6
Wellington, CO 80549-2396
Phone (320) 420-3961

Other identifiers 1

IdentifierTypeStateIssuer
1386125631MedicaidCO

Other names 1

  • Align Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211015000902 CO Part B Supplier - Clinic/Group Practice 8123426509 Receives reassigned benefits from 4 practitioners
Practice locations: Wellington, CO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1613347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1396338901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6557 BUTTERCUP DR UNIT 6",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805492396",
            "telephone_number": "320-420-3961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6557 BUTTERCUP DR UNIT 6",
            "city": "WELLINGTON",
            "state": "CO",
            "postal_code": "805492396",
            "telephone_number": "307-222-2337",
            "fax_number": "970-363-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALIGN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "SPEETZEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "320-420-3961",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1386125631",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Align Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Align Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wellington, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.