I-Was LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

I-WAS LLC

Practice address

523 N Pine St.
Gunnison, CO 81230-2615

Phone

(970) 746-6387

Fax

(970) 832-9287

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Derek DouglasNPI 1023706041

Title

Founder

Phone

(970) 746-6387

Specialties & licenses 7

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Derek Douglas, RPSGT, CNA, FCMT, BS

  • Other Specialist/Technologist
  • Gunnison, CO
  • NPI 1023706041

  Health & Wellness Coach

  NPD Authorized official

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1659058063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WILLOW LN",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812309762",
            "fax_number": "970-832-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "523 N PINE ST.",
            "city": "GUNNISON",
            "state": "CO",
            "postal_code": "812302615",
            "telephone_number": "970-746-6387",
            "fax_number": "970-832-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I-WAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "970-746-6387"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Hogan, M.D.
• Gregory F Holley, PA
• Nicolette Brewer Hooge, CRNA
• Roanne Rouse Houck, N.D.
• Kathryn Hunt
• Intermountain Medical Group Grand Junction, LLC
• Intermountain Medical Group Grand Junction, LLC
• Intermountain Medical Group Grand Junction, LLC
• Leslie Boozer Irwin, APRN, FNP-C
• Aline Lina Jatulis-Wight, RN

• Sleep Disorder Diagnostic Clinic/Center in Gunnison, CO
• Providers in Gunnison, CO by specialty
• Sleep Disorder Diagnostic Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.