Organization Active NPI

Rivers Edge Pain Specialists PLLC

  • Family Nurse Practitioner
  • Grand Junction, CO
National Provider Identifier
1699423921
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Jul 18, 2022

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.