Amy Zack | NPI 1497577290

Key facts

NPI: 1497577290
Entity type: Individual (NPI type 1)
Primary specialty: Student in an Organized Health Care Education/Training Program 390200000X
License: SWC.0000002326 (CO)
Practice address: 7275 Kipling St
Arvada, CO 80005-3857
Phone: (720) 266-4444
NPI assigned: Oct 31, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Animal Assisted Therapy Programs of Colorado Community/Behavioral Health Agency · Arvada, CO · NPI 1508285669

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
SWC.0000002326	CO	MD	Student in an Organized Health Care Education/Training Program

Practice roles

Organization	Specialty	Status	New patients
Animal Assisted Therapy Programs of Colorado		Current since Nov 3, 2024	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Student in an Organized Health Care Education/Training Program	390200000X	SWC.0000002326	CO	Yes

Addresses

Primary practice location

7275 Kipling St
Arvada, CO 80005-3857

Mailing address

7275 Kipling St
Arvada, CO 80005-3857
Phone (720) 266-4444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 31, 2024.

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1497577290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 KIPLING ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800053857",
            "telephone_number": "720-266-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 KIPLING ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800053857",
            "telephone_number": "720-266-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACK",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "SWC.0000002326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

All providers in Arvada, CO · Student in an Organized Health Care Education/Training Program in Colorado

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.