Organization Active NPI

Thrive Primary Care at Woodland Park LLC

  • Primary Care Nurse Practitioner
  • Woodland Park, CO
National Provider Identifier
1558861815
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
0992468 Issued in CO
Legal business name
THRIVE PRIMARY CARE AT WOODLAND PARK LLC
Practice address
1067 US 24
276
Woodland Park, CO 80863
Phone
(719) 964-4114
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
James Lehman, NP-CNPI 1639620206
Title
Nurse Practictioner
Phone
(719) 964-4114

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)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 0992468 CO Primary

Addresses

Primary practice location

1067 US 24
276
Woodland Park, CO 80863

Mailing address

1067 US 24
276
Woodland Park, CO 80863

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180424000849 CO Part B Supplier - Clinic/Group Practice 8527321652 Receives reassigned benefits from 1 practitioner
Practice locations: Woodland Park, CO

National Provider Directory

National Provider Directory

Locations

1067 E US Highway 24
Woodland Park, CO 80863
Phone (719) 360-0802

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1558861815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 US 24",
            "address_2": "276",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1067 US 24",
            "address_2": "276",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863",
            "telephone_number": "719-964-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THRIVE PRIMARY CARE AT WOODLAND PARK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "LEHMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "NURSE PRACTICTIONER",
        "authorized_official_telephone_number": "719-964-4114",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "0992468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.