Active NPI
Senior Care Specialists Inc
- Adult Health Nurse Practitioner
- Greeley, CO
National Provider Identifier
1487823894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 81724
- Legal business name
- SENIOR CARE SPECIALISTS INC
- Practice address
- 2320 43Rd Avenue CT
Greeley, CO 80634-3810 - Phone
- (970) 330-8815
- Fax
- (970) 330-0202
- NPI assigned
- Feb 29, 2008
- Last updated
- Mar 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marilyn K Morris, FNP-C
- Title
- Ceo
- Phone
- (970) 330-8815
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 81724 | CO | Primary |
Addresses
Primary practice location
2320 43Rd Avenue CT
Greeley, CO 80634-3810
Mailing address
2320 43Rd Avenue CT
Greeley, CO 80634-3810
Phone (970) 330-8815
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91123739 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Nurse Practitioner
- Greeley, CO
- NPI 1437299567
-
- Adult Health Nurse Practitioner
- Aurora, CO
- NPI 1609032184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206057600000",
"number": "1487823894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2320 43RD AVENUE CT",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343810",
"telephone_number": "970-330-8815",
"fax_number": "970-330-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 43RD AVENUE CT",
"city": "GREELEY",
"state": "CO",
"postal_code": "806343810",
"telephone_number": "970-330-8815",
"fax_number": "970-330-0202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SENIOR CARE SPECIALISTS INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-29",
"last_updated": "2008-03-21",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "970-330-8815",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "81724",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91123739",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.