Carol Marie Phelps, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22020 Issued in CO

Practice address

825 Hudson St
Denver, CO 80220-4436

Phone

(720) 273-6654

NPI assigned

Jan 30, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1487360665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 HUDSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204436",
            "telephone_number": "303-333-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 HUDSON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204436",
            "telephone_number": "720-273-6654"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11502 S Elk Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Pine",
            "state": "CO",
            "postal_code": "804707505",
            "country_code": "US",
            "telephone_number": "303-838-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "CAROL",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "22020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phase 3 Home Care Corporation
• Phase One
• Phaseone
• Andrew Louis Phelan, DC
• Peggy Ann Phelan
• Cathy Denise Phelps, LCSW
• Kristine Renee' Phelps, OTR
• Laura Phelps, MA, LPC
• Matthew Phelps
• William Hall Phelps, LCSW

• Family Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.