NPIMap

Organization Active NPI

Northwest Neurology PC

  • Neurology Physician
  • Louisville, CO
National Provider Identifier
1629154828
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
NORTHWEST NEUROLOGY PC
Practice address
90 Health Park Dr
Louisville, CO 80027-9757
Phone
(303) 426-0215
Fax
(303) 426-4003
NPI assigned
Oct 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Sandi Hynes
Title
Billing MGR
Phone
(303) 426-0215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU Primary

Addresses

Primary practice location

90 Health Park Dr
Louisville, CO 80027-9757

Mailing address

90 Health Park Dr.
390
Louisville, CO 80027-9742
Phone (303) 426-0215

Other practice location 1

3550 Lutheran Parkway
#200
Wheat Ridge, CO 80033
Phone (303) 425-9900

Other identifiers 1

IdentifierTypeStateIssuer
04008991MedicaidCO

National Provider Directory

National Provider Directory

Locations

8461 Turnpike Dr
Ste 200
Westminster, CO 80031
Phone (303) 426-0215

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629154828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR.",
            "address_2": "390",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279742",
            "telephone_number": "303-426-0215",
            "fax_number": "303-426-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-426-0215",
            "fax_number": "303-426-4003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3550 Lutheran Parkway",
            "address_2": "#200",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "80033",
            "country_code": "US",
            "telephone_number": "303-425-9900",
            "fax_number": "303-425-0883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHWEST NEUROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HYNES",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "303-426-0215",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04008991",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.