Pediatric Effective Elimination Program Clinic & Consulting, PC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

88483 Issued in CO

Legal business name

PEDIATRIC EFFECTIVE ELIMINATION PROGRAM CLINIC & CONSULTING, PC

Practice address

6179 S Balsam Way
#205
Littleton, CO 80123-3091

Phone

(720) 771-1135

Fax

(303) 889-5247

NPI assigned

Jul 26, 2012

Organization subpart

No

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

Authorized official

Name

Michelle Lynn McGarry, MSN RN CPNP CUNP

Title

Director, President

Phone

(720) 771-1135

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Pediatric Effective Elimination Program Clinic Consulting PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Effective Elimination Program Clinic & Consulting, PC

  • Pediatric Nurse Practitioner
  • Denver, CO
  • NPI 1548550908
  NPD tax ID
• Peep Clinic

  • Multi-Specialty Clinic/Center
  • Littleton, CO
  • NPI 1336594381
  NPD tax ID

Locations

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410048000000",
    "number": "1720334899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9249 S BROADWAY",
            "address_2": "#200-268",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801295690",
            "telephone_number": "720-771-1135",
            "fax_number": "303-889-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6179 S BALSAM WAY",
            "address_2": "#205",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801233091",
            "telephone_number": "720-771-1135",
            "fax_number": "303-889-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EFFECTIVE ELIMINATION PROGRAM CLINIC & CONSULTING, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2014-09-07",
        "status": "A",
        "authorized_official_last_name": "MCGARRY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DIRECTOR, PRESIDENT",
        "authorized_official_telephone_number": "720-771-1135",
        "authorized_official_credential": "MSN RN CPNP CUNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CO",
            "license": "88483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "15729362",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Pearson, PT, DPT
• Linda Pearson, DNSC MSN APRN,BC RXN
• Jacki Lynn Peats, CMT
• Chelsea Peck, LCSW
• Pediatric Dentistry, P.C.
• Pediatric Endocrinology of Colorado PC
• Pediatric Speech Therapy Associates
• Pediatrics West, P.C.
• Peek Eyecare LLC
• Margaret Peeke

• Pediatric Nurse Practitioner in Littleton, CO
• Providers in Littleton, CO by specialty
• Pediatric Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.