Alpine Medical and Specialty Practice

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

0990376 Issued in CO

Legal business name

ALPINE MEDICAL AND SPECIALTY PRACTICE

Practice address

117 Navajo Trail Drive
Unit Z
Pagosa Springs, CO 81147-8903

Phone

(970) 946-9939

NPI assigned

Dec 30, 2015

Last updated

Dec 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tabitha Zappone, FNP-C

Title

Owner

Phone

(970) 946-9939

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1760847008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LIMESTONE CT",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478903",
            "telephone_number": "970-946-9939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 NAVAJO TRAIL DRIVE",
            "address_2": "UNIT Z",
            "city": "PAGOSA SPRINGS",
            "state": "CO",
            "postal_code": "811478903",
            "telephone_number": "970-946-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE MEDICAL AND SPECIALTY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "ZAPPONE",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-946-9939",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CO",
            "license": "0990376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Exclusive Provider Organization in Pagosa Springs, CO
• Providers in Pagosa Springs, CO by specialty
• Exclusive Provider Organization in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.