Active NPI
Noco New Beginnings
- Nurse Practitioner
- Greeley, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- NOCO NEW BEGINNINGS
- Practice address
- 1019 39TH Ave Ste J
Greeley, CO 80634-2501 - Phone
- (970) 909-2035
- Fax
- (970) 909-2068
- NPI assigned
- Nov 5, 2020
- Last updated
- Nov 5, 2020
- 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
- Jose Luis Vasquez, FNP-B.C., PMHNP-B.C.
- Title
- Owner
- Phone
- (970) 978-1160
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | Primary |
Addresses
Primary practice location
1019 39TH Ave Ste J
Greeley, CO 80634-2501
Mailing address
1019 39TH Ave Ste J
Greeley, CO 80634-2501
Phone (970) 909-2035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 91002761 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1019 39th Ave
Ste J
Greeley, CO 80634
Phone (970) 909-2035
1122 9th St
Ste 204
Greeley, CO 80631
Phone (970) 909-2035
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Highlands Ranch, CO
- NPI 1649278318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1604534400000",
"number": "1720689789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 39TH AVE STE J",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342501",
"telephone_number": "970-909-2035",
"fax_number": "970-909-2068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 39TH AVE STE J",
"city": "GREELEY",
"state": "CO",
"postal_code": "806342501",
"telephone_number": "970-909-2035",
"fax_number": "970-909-2068"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOCO NEW BEGINNINGS",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-05",
"last_updated": "2020-11-05",
"certification_date": "2020-11-05",
"status": "A",
"authorized_official_last_name": "VASQUEZ",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "LUIS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "970-978-1160",
"authorized_official_credential": "FNP-B.C., PMHNP-B.C."
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "91002761",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.