Nervous System LLC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

Legal business name

NERVOUS SYSTEM LLC

Practice address

4743 Arapahoe Ave
Boulder, CO 80303-1113

Phone

(281) 346-3480

Fax

(281) 462-4106

NPI assigned

Jan 29, 2020

Last updated

Jan 29, 2020By 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

Rhonda Turner

Title

Manager

Phone

(281) 346-3480

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580256000000",
    "number": "1629609516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1789",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321789",
            "telephone_number": "281-346-3480",
            "fax_number": "281-462-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031113",
            "telephone_number": "281-346-3480",
            "fax_number": "281-462-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NERVOUS SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-346-3480"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.