Carlyle Cardiovascular Consultants PLLC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

CARLYLE CARDIOVASCULAR CONSULTANTS PLLC

Practice address

1434 Spruce St Ste 110
Boulder, CO 80302-4815

Phone

(720) 388-7760

Fax

(720) 405-4228

NPI assigned

Jan 17, 2023

Last updated

Jan 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn M Carlyle, M.D.NPI 1023320611

Title

President

Phone

(720) 388-7760

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynn Marie Carlyle, M.D.

  • Cardiovascular Disease Physician
  • Longmont, CO
  • NPI 1023320611
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1568177392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 5TH ST UNIT A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803044818",
            "telephone_number": "720-388-7760",
            "fax_number": "720-405-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 SPRUCE ST STE 110",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024815",
            "telephone_number": "720-388-7760",
            "fax_number": "720-405-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLYLE CARDIOVASCULAR CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-17",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "CARLYLE",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-388-7760",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Jane Carlson, MA, MFTC
• Mary K. Carlson, DDS
• Sarah Therese Carlson, LMFT
• Teri L Carlson, M.D.
• Carly Sedgwick, LLC
• Renee Stacey Carman, CCC-SLP
• Carol Benjamin, PT, LLC
• Carol Hathaway-Clark, PH.D., LLC
• Marilyn Natalie Carol, M.D.
• Carolyn Dimson, PH.D., LLC

• Interventional Cardiology Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Interventional Cardiology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.