Avista Womens Care PC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

AVISTA WOMENS CARE PC

Practice address

90 Health Park Dr
290
Louisville, CO 80027-9586

Phone

(303) 439-8910

Fax

(303) 439-9134

NPI assigned

May 31, 2006

Organization subpart

No

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

Authorized official

Name

Mikki Baker

Title

Billing

Phone

(303) 439-8910

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1467499699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "290",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279586",
            "telephone_number": "303-439-8910",
            "fax_number": "303-439-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "290",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279586",
            "telephone_number": "303-439-8910",
            "fax_number": "303-439-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISTA WOMENS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MIKKI",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "303-439-8910"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38781026",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY NUMBER",
            "identifier": "C808302",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Rowena Nicole Baca, M.A., L.P.C.
• Kathryn M Bach, OTR/L
• Brittney Bailey, OTR/L
• Daniel Bailey, PTA

• Obstetrics & Gynecology Physician in Louisville, CO
• Providers in Louisville, CO by specialty
• Obstetrics & Gynecology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; 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.