Mountain View Neurocare, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

MOUNTAIN VIEW NEUROCARE, LLC

Practice address

592 Traildust Dr
Milliken, CO 80543-3030

Phone

(970) 405-0319

NPI assigned

May 18, 2016

Last updated

May 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mindy Wakeman, MS, CNIMNPI 1124372834

Title

Owner

Phone

(970) 405-0319

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mindy Wakeman, CNIM

  • Electroneurodiagnostic Specialist/Technologist
  • Milliken, CO
  • NPI 1124372834
  Authorized official Same address or phone

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463529600000",
    "number": "1467809657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 503",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "805430503",
            "telephone_number": "970-405-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "592 TRAILDUST DR",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "805433030",
            "telephone_number": "970-405-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW NEUROCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2016-05-18",
        "status": "A",
        "authorized_official_last_name": "WAKEMAN",
        "authorized_official_first_name": "MINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-405-0319",
        "authorized_official_credential": "MS, CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shawn Alexander Miller, IANMT
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• Special Hospital in Milliken, CO
• Providers in Milliken, CO by specialty
• Special Hospital in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2016; 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.