NPIMap

Organization Active NPI

Mindful Medicine LTD.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Steamboat Springs, CO
National Provider Identifier
1750989752
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
Legal business name
MINDFUL MEDICINE LTD.
Practice address
942 Oak Street
Steamboat Springs, CO 80487
Phone
(970) 879-9362
NPI assigned
Oct 12, 2020
Last updated
Oct 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Erin Bomberg, DONPI 1336674936
Title
Ceo
Phone
(970) 879-9362

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
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204D00000X Primary

Addresses

Primary practice location

942 Oak Street
Steamboat Springs, CO 80487

Mailing address

PO Box 881029
Steamboat Springs, CO 80488-1029
Phone (970) 846-8035

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erin@mindfulmedicineltd.com

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: erin@mindfulmedicineltd.com

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": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1750989752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881029",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804881029",
            "telephone_number": "970-846-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 OAK STREET",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80487",
            "telephone_number": "970-879-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MEDICINE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "BOMBERG",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "970-879-9362",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erin@mindfulmedicineltd.com",
            "affiliation": "N",
            "address_1": "942 Oak Street",
            "city": "Steamboat Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "80487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; 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.