NPIMap

Organization Active NPI

Carepoint Outpatient Blue Sky Neurology PLLC

  • Neurology Physician
  • Wheat Ridge, CO
National Provider Identifier
1760079511
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC
Practice address
3455 Lutheran Pkwy
Wheat Ridge, CO 80033-6028
Phone
(303) 781-4485
Fax
(720) 274-0064
NPI assigned
Dec 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

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

Authorized official

Name
Deborah Smith
Title
VP/General Counsel
Phone
(303) 436-2720

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

3455 Lutheran Pkwy
Wheat Ridge, CO 80033-6028

Mailing address

PO Box 17528
Denver, CO 80217-0528
Phone (303) 781-4485

Other names 1

  • CarePoint Outpatient Blue Sky Neurology at Wheat Ridge Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1609113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609977600000",
    "number": "1760079511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17528",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802170528",
            "telephone_number": "303-781-4485",
            "fax_number": "720-274-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3455 LUTHERAN PKWY",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336028",
            "telephone_number": "303-781-4485",
            "fax_number": "720-274-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPOINT OUTPATIENT BLUE SKY NEUROLOGY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-28",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "VP/GENERAL COUNSEL",
        "authorized_official_telephone_number": "303-436-2720"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarePoint Outpatient Blue Sky Neurology at Wheat Ridge",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CarePoint Outpatient Blue Sky Neurology at Wheat Ridge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Jan 7, 2021; 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.