Northern Colorado Geriatrics

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

76875 Issued in CO

Legal business name

NORTHERN COLORADO GERIATRICS

Practice address

2519 S Shields St
PMB I-143
Ft Collins, CO 80526-1855

Phone

(970) 388-3279

Fax

(970) 419-4780

NPI assigned

Nov 5, 2005

Organization subpart

No

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

Authorized official

Name

Tamra Meurer, N.P.

Title

Owner

Phone

(970) 388-3279

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1131148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770564908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS ST",
            "address_2": "PMB I-143",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "805261855",
            "telephone_number": "970-388-3279",
            "fax_number": "970-419-4780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS ST",
            "address_2": "PMB I-143",
            "city": "FT COLLINS",
            "state": "CO",
            "postal_code": "805261855",
            "telephone_number": "970-388-3279",
            "fax_number": "970-419-4780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN COLORADO GERIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MEURER",
        "authorized_official_first_name": "TAMRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-388-3279",
        "authorized_official_credential": "N.P."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "76875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80627544",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DB5993",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Ft Collins, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.