Pronerve

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

PRONERVE

Practice address

7600 E Orchard Rd
Suite 200N
Greenwood Village, CO 80111-2518

Phone

(303) 399-1499

NPI assigned

Oct 10, 2013

Organization subpart

No

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

Authorized official

Name

Tracey Busnardo

Title

Credentialing Specialist

Phone

(303) 399-1499

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1679900443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 E ORCHARD RD",
            "address_2": "SUITE 200N",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112518",
            "telephone_number": "303-339-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 E ORCHARD RD",
            "address_2": "SUITE 200N",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112518",
            "telephone_number": "303-399-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRONERVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "BUSNARDO",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "303-399-1499"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Electroneurodiagnostic Specialist/Technologist in Greenwood Village, CO
• Providers in Greenwood Village, CO by specialty
• Electroneurodiagnostic Specialist/Technologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.