Organization Active NPI

Nikander LLC

  • Family Medicine Physician
  • Boulder, CO
National Provider Identifier
1467622274
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
108256 Issued in CO
Legal business name
NIKANDER LLC
Practice address
3015 47TH St Ste E2
Boulder, CO 80301-5509
Phone
(303) 444-6800
NPI assigned
Mar 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Prof. Donna Marie Grandi Nikander, MSN FNP
Title
Family Nurse Practitioner
Phone
(303) 444-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 108256 CO Primary

Addresses

Primary practice location

3015 47TH St Ste E2
Boulder, CO 80301-5509

Mailing address

3015 47TH St Ste E2
Boulder, CO 80301-5509

National Provider Directory

National Provider Directory

Locations

3015 47th St
Ste E2
Boulder, CO 80301
Phone (303) 444-6800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1467622274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 47TH ST STE E2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 47TH ST STE E2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803015509",
            "telephone_number": "303-444-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKANDER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "GRANDI NIKANDER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "303-444-6800",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MSN FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "108256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.