Active NPI
Philip Spaulding
- Prevention Professional
- Wheat Ridge, CO
National Provider Identifier
1437641990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prevention Professional
- License
- CCPSII-02017
- Practice address
- 4851 Independence St FL 1
Wheat Ridge, CO 80033-6715 - Phone
- (303) 250-5601
- NPI assigned
- May 31, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prevention Professional | 405300000X | CCPSII-02017 | CO | Primary |
Addresses
Primary practice location
4851 Independence St FL 1
Wheat Ridge, CO 80033-6715
Mailing address
4851 Independence St FL 1
Wheat Ridge, CO 80033-6715
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1437641990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE ST FL 1",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4851 INDEPENDENCE ST FL 1",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336715",
"telephone_number": "303-250-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAULDING",
"first_name": "PHILIP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-05-31",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "405300000X",
"taxonomy_group": "",
"desc": "Prevention Professional",
"state": "CO",
"license": "CCPSII-02017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.