Organization Active NPI

Malcolm J. Monlezun, LLC

  • Certified Registered Nurse Anesthetist
  • Longmont, CO
National Provider Identifier
1427396159
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
160578 Issued in CO
Legal business name
MALCOLM J. MONLEZUN, LLC
Practice address
13601 N 115TH St
Longmont, CO 80504-8017
Phone
(303) 915-2269
NPI assigned
Jan 31, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Malcolm J Monlezun, CRNA
Title
Owner/Sole Proprietor
Phone
(303) 915-2269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 160578 CO Primary

Addresses

Primary practice location

13601 N 115TH St
Longmont, CO 80504-8017

Mailing address

13601 N 115TH St
Longmont, CO 80504-8017
Phone (303) 915-2269

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1427396159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13601 N 115TH ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048017",
            "telephone_number": "303-915-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13601 N 115TH ST",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805048017",
            "telephone_number": "303-915-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM J. MONLEZUN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "MONLEZUN",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "303-915-2269",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "160578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.