Active NPI
Rivers Edge Pain Specialists PLLC
- Family Nurse Practitioner
- Grand Junction, CO
National Provider Identifier
1699423921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- RIVERS EDGE PAIN SPECIALISTS PLLC
- Practice address
- 2249 Broadway Ste 8
Grand Junction, CO 81507-1157 - Phone
- (970) 314-7094
- Fax
- (970) 314-7094
- NPI assigned
- Mar 15, 2022
- 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
- Heather Janae Smith, DNP, APN, NP-C
- Title
- Medical Director/Nurse Practitioner
- Phone
- (970) 778-6323
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
2249 Broadway Ste 8
Grand Junction, CO 81507-1157
Mailing address
2033 Broadway
Grand Junction, CO 81507-9710
Phone (970) 314-7094
National Provider Directory
National Provider DirectoryLocations
2249 Broadway
Grand Junction, CO 81507
Phone (970) 241-0110
2249 Broadway
Ste 8
Grand Junction, CO 81507
Phone (970) 314-7094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658102400000",
"number": "1699423921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2033 BROADWAY",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815079710",
"telephone_number": "970-314-7094",
"fax_number": "970-314-7094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2249 BROADWAY STE 8",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815071157",
"telephone_number": "970-314-7094",
"fax_number": "970-314-7094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERS EDGE PAIN SPECIALISTS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-15",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "HEATHER",
"authorized_official_middle_name": "JANAE",
"authorized_official_title_or_position": "MEDICAL DIRECTOR/NURSE PRACTITIONER",
"authorized_official_telephone_number": "970-778-6323",
"authorized_official_credential": "DNP, APN, NP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Junction, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.