Individual provider Active NPI

Paula R Garcia, RN

  • Registered Nurse
  • Canon City, CO
National Provider Identifier
1548530017
Registry record updated Dec 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN-170048 Issued in CO
Practice address
172 Justice Center Rd
Canon City, CO 81212-9354
Phone
(719) 275-1626
Fax
(719) 275-4328
NPI assigned
Dec 30, 2011
Last updated
Dec 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NLC-11455 CO
Registered Nurse 163W00000X RN-170048 CO Primary

Addresses

Primary practice location

172 Justice Center Rd
Canon City, CO 81212-9354

Mailing address

172 Justice Center Rd
Canon City, CO 81212-9354
Phone (719) 275-1626

Other names 1

  • Paula R Garcia Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
NLC-11455COMDCounselor
RN-170048COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Fremont Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325203200000",
    "number": "1548530017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 JUSTICE CENTER RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129354",
            "telephone_number": "719-275-1626",
            "fax_number": "719-275-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 JUSTICE CENTER RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812129354",
            "telephone_number": "719-275-1626",
            "fax_number": "719-275-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "PAULA",
        "middle_name": "R",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "NLC-11455",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN-170048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "GARCIA",
            "middle_name": "R",
            "credential": "REG. PSYCHOTHERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canon City, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.