Organization Active NPI

Geriatric Services of Northern Colorado LLC

  • Family Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1417024738
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0002096-NP Issued in CO
Legal business name
GERIATRIC SERVICES OF NORTHERN COLORADO LLC
Practice address
1137 Wyndham Hill Rd
Fort Collins, CO 80525-7201
Phone
(970) 388-5588
NPI assigned
Nov 30, 2006
Last updated
Sep 29, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Tamra Marie Meurer, NPNPI 1316928542
Title
Owner
Phone
(970) 388-5588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0002096-NP CO Primary

Addresses

Primary practice location

1137 Wyndham Hill Rd
Fort Collins, CO 80525-7201

Mailing address

1137 Wyndham Hill Rd
Fort Collins, CO 80525-7201
Phone (970) 388-5588

Other identifiers 1

IdentifierTypeStateIssuer
20671725MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1417024738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 WYNDHAM HILL RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257201",
            "telephone_number": "970-388-5588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 WYNDHAM HILL RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805257201",
            "telephone_number": "970-388-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC SERVICES OF NORTHERN COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "MEURER",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-388-5588",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0002096-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20671725",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.