Medphone RX LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0990763 Issued in CO

Legal business name

MEDPHONE RX LLC

Doing business as

MedPhone Rx LLC

Practice address

219 W Magnolia St
Fort Collins, CO 80521-2926

Phone

(970) 617-3132

NPI assigned

Dec 18, 2017

Organization subpart

No

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

Authorized official

Name

Evelyn Bardago Hu, MSN, NP-C

Title

FNP-BC, Owner

Phone

(970) 646-2153

Specialties & licenses 1

Addresses

Other names 1

• MedPhone Rx LLC Doing business as

Locations

Practitioners 1

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

• Evelyn Bardago Clark, MSN, ANP, NP-C

  • Family Nurse Practitioner
  • Greeley, CO
  • NPI 1508208307
  NPD

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1568978229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1894 SEVEN LAKES DR",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805384841",
            "telephone_number": "720-771-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 W MAGNOLIA ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212926",
            "telephone_number": "970-617-3132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12201 E Mississippi Ave Unit 107B",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800123468",
            "country_code": "US",
            "telephone_number": "970-617-3133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDPHONE RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HU",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "BARDAGO",
        "authorized_official_title_or_position": "FNP-BC, OWNER",
        "authorized_official_telephone_number": "970-646-2153",
        "authorized_official_credential": "MSN, NP-C"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0990763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPhone Rx LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.