Individual provider Active NPI

Michele K. Sweeney

  • Emergency Medicine Physician
  • Pueblo, CO
National Provider Identifier
1639772536
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR20847 Issued in CO
Practice address
900 W Orman Ave
Pueblo, CO 81004-1430
Phone
(719) 549-3490
NPI assigned
Nov 21, 2020
Last updated
Nov 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR20847 CO Primary

Addresses

Primary practice location

900 W Orman Ave
Pueblo, CO 81004-1430

Mailing address

416 W 14TH St
Pueblo, CO 81003-2708
Phone (719) 251-6558

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Michele.Sweeney@pueblocc.edu Direct Pueblo Community College

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DR20847COMDEmergency Medicine Physician

Interoperability endpoints

  • Direct secure messaging: michele.sweeney@pueblocc.edu

NPI Registry JSON

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605916800000",
    "number": "1639772536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 W 14TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810032708",
            "telephone_number": "719-251-6558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W ORMAN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810041430",
            "telephone_number": "719-549-3490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MICHELE",
        "middle_name": "K.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR20847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Michele.Sweeney@pueblocc.edu",
            "affiliation": "Y",
            "affiliationName": "Pueblo Community College",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "900 W Orman Ave",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810041430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

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