Rock Creek Medi Spa

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

613928 Issued in CO

Legal business name

ROCK CREEK MEDI SPA

Practice address

2600 S Rock Creek Pkwy
Superior, CO 80027-4498

Phone

(303) 543-8304

NPI assigned

Oct 1, 2015

Organization subpart

No

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

Authorized official

Name

Lynda Marie Young

Title

President

Phone

(303) 543-8304

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Flanagan

  • Health Maintenance Organization
  • Superior, CO
  • NPI 1811340144
  NPD (past)

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1427428556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 LAMAR PL",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800031734",
            "telephone_number": "303-543-8304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S ROCK CREEK PKWY",
            "city": "SUPERIOR",
            "state": "CO",
            "postal_code": "800274498",
            "telephone_number": "303-543-8304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCK CREEK MEDI SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-543-8304"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CO",
            "license": "613928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Agnes R Regut, LMT
• Lindsey M Rentschler, M.D.
• Carra Richling
• Barbara Ann Ridler, DENTAL HYGIENIST
• Julia Robinson, O.D.
• Rocky Mountain Mobile Anesthesia Solutions, LLC
• Jaime Nicole Roth, MS, CCC-SLP
• Safeway Inc (Safeway Pharmacy #1656)
• Alexis Saint Amand, RDH
• Eric Scott Salus Jr., OT

• Health Maintenance Organization in Superior, CO
• Providers in Superior, CO by specialty
• Health Maintenance Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; 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.