Organization Active NPI

Zumaya

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1629428982
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09924043 Issued in CO
Legal business name
ZUMAYA
Practice address
1143 Santa Fe Dr
Denver, CO 80204-3543
Phone
(559) 307-1800
NPI assigned
Jun 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Gladys R VillaNPI 1063802692
Title
Proprietor
Phone
(559) 307-1800

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 09924043 CO Primary

Addresses

Primary practice location

1143 Santa Fe Dr
Denver, CO 80204-3543

Mailing address

31481 Upper Bear Creek Rd
Evergreen, CO 80439-7818
Phone (559) 307-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211020000243 CO Part B Supplier - Clinic/Group Practice 7810385184 Receives reassigned benefits from 1 practitioner
Practice locations: Evergreen, CO

National Provider Directory

National Provider Directory

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": "1466121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1629428982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31481 UPPER BEAR CREEK RD",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804397818",
            "telephone_number": "559-307-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 SANTA FE DR",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802043543",
            "telephone_number": "559-307-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZUMAYA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-17",
        "last_updated": "2023-09-06",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "VILLA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "559-307-1800"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09924043",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.