NPIMap

Organization Active NPI

Mountian Medicine

  • Family Medicine Physician
  • Crested Butte, CO
National Provider Identifier
1699777912
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
512338 Issued in CO
Legal business name
MOUNTIAN MEDICINE
Practice address
405 Elk Avenue
Crested Butte, CO 81423
Phone
(970) 349-1046
Fax
(970) 349-1051
NPI assigned
Jun 1, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Leandra Lynch, MDNPI 1386647766
Title
Director/Officer
Phone
(970) 349-1046

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 512338 CO Primary

Addresses

Primary practice location

405 Elk Avenue
Crested Butte, CO 81423

Mailing address

PO Box 122
Crested Butte, CO 81224-0122
Phone (970) 349-1046

Other identifiers 1

IdentifierTypeStateIssuer
02574241MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699777912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "812240122",
            "telephone_number": "970-349-1046",
            "fax_number": "970-349-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ELK AVENUE",
            "city": "CRESTED BUTTE",
            "state": "CO",
            "postal_code": "81423",
            "telephone_number": "970-349-1046",
            "fax_number": "970-349-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTIAN MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LEANDRA",
        "authorized_official_title_or_position": "DIRECTOR/OFFICER",
        "authorized_official_telephone_number": "970-349-1046",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "512338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02574241",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crested Butte, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.