Complete Care Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

COMPLETE CARE FAMILY PRACTICE

Practice address

713 1/2 W 27TH St
Scottsbluff, NE 69361-4412

Phone

(308) 633-2273

Fax

(308) 633-2276

NPI assigned

Mar 30, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Peggy Lynn Sheets

Title

Credentialing

Phone

(308) 641-1262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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

• Jodene Thomas Burkhart, ARNP-C

  • Nurse Practitioner
  • Gering, NE
  • NPI 1780607556

  NE

  Medicare reassignment Care Compare group NPD
• Patricia Maria Barraza, FNP-C

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1790456820

  Family Medicine, NE

  Medicare reassignment Care Compare group NPD
• Haley J Ford, PA

  • Physician Assistant
  • Sidney, NE
  • NPI 1679771893

  NE

  Medicare reassignment

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1679079669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 1/2 W 27TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614412",
            "telephone_number": "308-633-2273",
            "fax_number": "308-633-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 1/2 W 27TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614412",
            "telephone_number": "308-633-2273",
            "fax_number": "308-633-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "SHEETS",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "308-641-1262",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiann Colwell, APRN-NP
• Maureen Comings
• Compass Home Healthcare Colorado LLC
• Compass Home Healthcare LLC
• Compass Respite and Day Center LLC
• Melissa K Conn
• Maribeth Conrad, APRN-GNP, PMHNP
• Paul C Considine, DO
• Kelly Jo Coon, M.D.
• Lily Coon

• All providers in Scottsbluff, NE
• Family Medicine Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.