Organization Active NPI

Med Aesthetics MD, LLC

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1679252068
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
MED AESTHETICS MD, LLC
Practice address
5925 Lehman Dr Ste 3
Colorado Springs, CO 80918-3418
Phone
(719) 201-7020
NPI assigned
Jul 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Jessica Hammond
Title
Ceo
Phone
(719) 201-7020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

5925 Lehman Dr Ste 3
Colorado Springs, CO 80918-3418

Mailing address

5925 Lehman Dr Ste 3
Colorado Springs, CO 80918-3418
Phone (719) 201-7020

National Provider Directory

National Provider Directory

Locations

5925 Lehman Dr
Ste 3
Colorado Springs, CO 80918
Phone (719) 201-7020

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1679252068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5925 LEHMAN DR STE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183418",
            "telephone_number": "719-201-7020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5925 LEHMAN DR STE 3",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809183418",
            "telephone_number": "719-201-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED AESTHETICS MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-201-7020"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.