Active NPI
Unity Care PLLC
- Family Nurse Practitioner
- Pueblo, CO
National Provider Identifier
1679278485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- UNITY CARE PLLC
- Practice address
- 1104 N Main St
Pueblo, CO 81003-2826 - Phone
- (719) 251-9023
- NPI assigned
- Apr 3, 2023
- Last updated
- Jul 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shawn A Koury, NP
- Title
- Co-Owner
- Phone
- (719) 298-4430
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU |
Addresses
Primary practice location
1104 N Main St
Pueblo, CO 81003-2826
Mailing address
1104 N Main St
Pueblo, CO 81003-2826
Phone (719) 298-4430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Unity Care PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Massage Therapist
- Pueblo, CO
- NPI 1679490387
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Massage Therapist
- Pueblo, CO
- NPI 1962743302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1690416000000",
"number": "1679278485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1104 N MAIN ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032826",
"telephone_number": "719-298-4430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 N MAIN ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810032826",
"telephone_number": "719-251-9023"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITY CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-03",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A",
"authorized_official_last_name": "KOURY",
"authorized_official_first_name": "SHAWN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "719-298-4430",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.