Susan Geffre

Individual provider Active NPI Inpatient Hospice · Morrison, CO

NPI 1417686288 · NPPES record last updated Jun 7, 2022

Key facts

NPI
1417686288
Entity type
Individual (NPI type 1)
Primary specialty
Inpatient Hospice 315D00000X
License
00786681 (CO)
Practice address
9633 Fox Valley Dr
Morrison, CO 80465-9429
Phone
(720) 280-6949
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
00786681COMDInpatient Hospice

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Inpatient Hospice 315D00000X 00786681 CO Yes

Addresses

Primary practice location

9633 Fox Valley Dr
Morrison, CO 80465-9429

Mailing address

9633 Fox Valley Dr
Morrison, CO 80465-9429
Phone (720) 280-6949

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Morrison Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 7, 2022.

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1417686288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9633 FOX VALLEY DR",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804659429",
            "telephone_number": "720-280-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9633 FOX VALLEY DR",
            "city": "MORRISON",
            "state": "CO",
            "postal_code": "804659429",
            "telephone_number": "720-280-6949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEFFRE",
        "first_name": "SUSAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "CO",
            "license": "00786681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Morrison",
            "affiliation": "N",
            "endpointDescription": "City",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9633 Fox Valley Dr",
            "city": "Morrison",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804659429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morrison, CO

All providers in Morrison, CO · Inpatient Hospice in Colorado

Sources for this page

Verify at the official NPI Registry.