Diabetes Wellness Solutions, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

53459 Issued in CO

Legal business name

DIABETES WELLNESS SOLUTIONS, LLC

Practice address

23911 E Arapahoe Rd
Aurora, CO 80016-4120

Phone

(720) 642-0459

NPI assigned

Jan 1, 2018

Organization subpart

No

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

Authorized official

Name

Stormie S Baxter, M. ED.

Title

Owner, Ceo

Phone

(720) 642-0459

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514764800000",
    "number": "1649787599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 S NEWBERN WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800166133",
            "telephone_number": "720-642-0459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23911 E ARAPAHOE RD",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800164120",
            "telephone_number": "720-642-0459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIABETES WELLNESS SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-01-01",
        "status": "A",
        "authorized_official_last_name": "BAXTER",
        "authorized_official_first_name": "STORMIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "720-642-0459",
        "authorized_official_credential": "M. ED."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CO",
            "license": "53459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Aurora, CO
• Providers in Aurora, CO by specialty
• Preferred Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2018; 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.