Organization Active NPI

Bluffs Medical Wellness Prof LLC

  • Family Medicine Physician
  • Lone Tree, CO
National Provider Identifier
1700201548
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BLUFFS MEDICAL WELLNESS PROF LLC
Practice address
10103 Ridge Gate Parkway G23
Lone Tree, CO 80124
Phone
(303) 865-7085
NPI assigned
Mar 4, 2014
Last updated
Mar 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Authorized official

Name
Ann Christine Linares, MD
Title
Member
Phone
(303) 865-7085

Specialties & licenses 1

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

Addresses

Primary practice location

10103 Ridge Gate Parkway G23
Lone Tree, CO 80124

Mailing address

10103 Ridge Gate Parkway G23
Lone Tree, CO 80124
Phone (303) 865-7085

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393891200000",
    "number": "1700201548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 RIDGE GATE PARKWAY G23",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-865-7085",
            "fax_number": "303-225-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10103 RIDGE GATE PARKWAY G23",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80124",
            "telephone_number": "303-865-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUFFS MEDICAL WELLNESS PROF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A",
        "authorized_official_last_name": "LINARES",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "303-865-7085",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; 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.