Active NPI
Windsor Family Clinic, PC
- General Practice Physician
- Windsor, CO
National Provider Identifier
1619160033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- WINDSOR FAMILY CLINIC, PC
- Practice address
- 4630 Royal Vista Cir Ste 7
Windsor, CO 80528-9371 - Phone
- (970) 530-0575
- Fax
- (970) 530-0581
- NPI assigned
- Aug 20, 2007
- Last updated
- Aug 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angie Noetzelmann
- Title
- Billing Representative
- Phone
- (800) 515-6352
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
4630 Royal Vista Cir Ste 7
Windsor, CO 80528-9371
Mailing address
4630 Royal Vista Cir Ste 7
Windsor, CO 80528-9371
Phone (970) 530-0575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04008595 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1455 Main St
Ste 100
Windsor, CO 80550
Phone (970) 207-4857
4630 Royal Vista Cir
#7
Windsor, CO 80528
4630 Royal Vista Cir
Ste 7
Windsor, CO 80528
Phone (970) 530-0575
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Medical Physician Assistant
- Windsor, CO
- NPI 1639352362
-
- Family Medicine Physician
- Santa Barbara, CA
- NPI 1659390110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187568000000",
"number": "1619160033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4630 ROYAL VISTA CIR STE 7",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805289371",
"telephone_number": "970-530-0575",
"fax_number": "970-530-0581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4630 ROYAL VISTA CIR STE 7",
"city": "WINDSOR",
"state": "CO",
"postal_code": "805289371",
"telephone_number": "970-530-0575",
"fax_number": "970-530-0581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINDSOR FAMILY CLINIC, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-20",
"last_updated": "2007-08-20",
"status": "A",
"authorized_official_last_name": "NOETZELMANN",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "BILLING REPRESENTATIVE",
"authorized_official_telephone_number": "800-515-6352"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04008595",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windsor, CO
- Kelsi Wilson, PT, DPT
- Windsor Audiology LLC
- Windsor Community Pharmacy
- Windsor Dental Partners PLLC (Comfort Dental of Windsor)
- Windsor Eye Care & Vision Center, P.C.
- Windsor Family Dentistry Practice, LLC (Windsor Family Dentistry)
- Windsor Front Range Dentistry (DBA Windsor Family Dentistry, DBA Wellington Family Dentistry)
- Windsor Pediatric Dentistry PLLC (Windsor Pediatric Dentistry)
- Alicia Elizabeth Woll, MS, RD
- Emily Grace Wood
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.