Individual provider Active NPI

Julie M Noffsinger, MD

  • Pediatrics Physician
  • Loveland, CO
National Provider Identifier
1538123930
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
45773 Issued in CO
Practice address
3520 E 15TH St
Loveland, CO 80538-8938
Phone
(970) 313-2700
Fax
(970) 313-2727
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 45773 CO Primary

Addresses

Primary practice location

3520 E 15TH St
Loveland, CO 80538-8938

Mailing address

2500 Rocky Mountain Ave
North Mob
Loveland, CO 80538-9004
Phone (970) 313-2700

Other identifiers 1

IdentifierTypeStateIssuer
05123348MedicaidCO

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080521000234 CO Practitioner - Pediatric Medicine 0941379622 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45773COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Poudre Valley Medical Group, LLC CurrentSince Aug 19, 2013 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Aug 19, 2013 Accepting new patients
Medical Center of the Rockies Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

3520 E 15th St
Loveland, CO 80538
Phone (970) 313-2700

2500 Rocky Mountain Ave
Loveland, CO 80538
Phone (970) 297-6425

3520 E 15th St
Ste 201
Loveland, CO 80538
Phone (970) 203-7165

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1538123930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE",
            "address_2": "NORTH MOB",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-313-2700",
            "fax_number": "970-313-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 E 15TH ST",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805388938",
            "telephone_number": "970-313-2700",
            "fax_number": "970-313-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFFSINGER",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "45773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05123348",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.