NPIMap

Individual provider Active NPI

Josephine Louise McClure, FNP

  • Family Nurse Practitioner
  • Pueblo, CO
National Provider Identifier
1497878318
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
70966 Issued in CO
Practice address
314 W 16TH St
Pueblo, CO 81003-2728
Phone
(719) 546-3511
Fax
(719) 583-1292
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 70966 CO Primary

Addresses

Primary practice location

314 W 16TH St
Pueblo, CO 81003-2728

Mailing address

PO Box 724
10142 Singer LN
Rye, CO 81069-0724
Phone (719) 489-2853

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200603000060 CO Practitioner - Nurse Practitioner 3971737909 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rocky Mountain Primary Care ClinicGroup PAC ID 6103094974, 6 clinicians

Practice addresses (Care Compare)

131 S Main St
Suite 101
Pueblo, CO 81003-3415
Phone (719) 924-9398

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
70966COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Primary Care Clinic Family CurrentSince Apr 1, 2020 Accepting new patients

Locations

131 S Main St
Ste 101
Pueblo, CO 81003
Phone (719) 924-9398

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497878318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 724",
            "address_2": "10142 SINGER LN",
            "city": "RYE",
            "state": "CO",
            "postal_code": "810690724",
            "telephone_number": "719-489-2853",
            "fax_number": "719-489-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 W 16TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032728",
            "telephone_number": "719-546-3511",
            "fax_number": "719-583-1292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "JOSEPHINE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "70966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.