Organization Active NPI

Exempla Diabetes Center

  • Chronic Disease Hospital
  • Wheat Ridge, CO
National Provider Identifier
1730333683
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Chronic Disease HospitalTaxonomy code 281P00000X
License
0012680 Issued in CO
Legal business name
EXEMPLA DIABETES CENTER
Practice address
3455 Lutheran Pkwy
Suite 270
Wheat Ridge, CO 80033-6028
Phone
(303) 403-7930
Fax
(303) 403-7945
NPI assigned
Nov 5, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Ms. Amy Dawn Bradshaw, R.D., CDENPI 1316225089
Title
Diabetes Educator
Phone
(303) 403-7930

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chronic Disease Hospital 281P00000X 0012680 CO Primary

Addresses

Primary practice location

3455 Lutheran Pkwy
Suite 270
Wheat Ridge, CO 80033-6028

Mailing address

3455 Lutheran Pkwy Ste 270
Wheat Ridge, CO 80033-6034
Phone (303) 403-7930

Other identifiers 1

IdentifierTypeStateIssuer
05608006MedicaidCO

National Provider Directory

National Provider Directory

Locations

3455 Lutheran Pkwy
Ste 270
Wheat Ridge, CO 80033
Phone (303) 403-7930

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.

NPI Registry JSON

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

{
    "created_epoch": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1730333683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY STE 270",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336034",
            "telephone_number": "303-403-7930",
            "fax_number": "303-403-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY",
            "address_2": "SUITE 270",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336028",
            "telephone_number": "303-403-7930",
            "fax_number": "303-403-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXEMPLA DIABETES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "DIABETES EDUCATOR",
        "authorized_official_telephone_number": "303-403-7930",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.D., CDE"
    },
    "taxonomies": [
        {
            "code": "281P00000X",
            "taxonomy_group": "",
            "desc": "Chronic Disease Hospital",
            "state": "CO",
            "license": "0012680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05608006",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.