Creative Oasis LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

CREATIVE OASIS LLC

Doing business as

Creative Oasis

Practice address

223 N Wahsatch Ave
Colorado Springs, CO 80903-3479

Phone

(719) 728-0240

NPI assigned

Oct 11, 2022

Organization subpart

No

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

Authorized official

Name

Nicholas PattonNPI 1740934215

Title

Founder/Director

Phone

(719) 728-0240

Specialties & licenses 1

Addresses

Other names 1

• Creative Oasis Doing business as

Locations

Practitioners 1

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

• Nicholas Patton

  • Peer Specialist
  • Colorado Springs, CO
  • NPI 1740934215
  NPD Authorized official

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1730804865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 S 8TH ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809052414",
            "telephone_number": "719-728-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N WAHSATCH AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809033479",
            "telephone_number": "719-728-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE OASIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "FOUNDER/DIRECTOR",
        "authorized_official_telephone_number": "719-728-0240"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Oasis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Creative Oasis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Peer Specialist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Peer Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.