Active NPI
Foot & Ankle Center of Northern Colorado,PC
- Podiatrist
- Greeley, CO
National Provider Identifier
1770616567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- Legal business name
- FOOT & ANKLE CENTER OF NORTHERN COLORADO,PC
- Practice address
- 1931 65TH Ave Ste a
Greeley, CO 80634-7946 - Phone
- (970) 351-0900
- Fax
- (970) 351-0940
- NPI assigned
- Mar 13, 2007
- Last updated
- Mar 28, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shelly Korell
- Title
- Office Manager
- Phone
- (970) 351-0900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | NU | Primary |
Addresses
Primary practice location
1931 65TH Ave Ste a
Greeley, CO 80634-7946
Mailing address
1931 65TH Ave Ste a
Greeley, CO 80634-7946
Phone (970) 351-0900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04008942 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301270400000",
"number": "1770616567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 65TH AVE STE A",
"city": "GREELEY",
"state": "CO",
"postal_code": "806347946",
"telephone_number": "970-351-0900",
"fax_number": "970-351-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 65TH AVE STE A",
"city": "GREELEY",
"state": "CO",
"postal_code": "806347946",
"telephone_number": "970-351-0900",
"fax_number": "970-351-0940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOOT & ANKLE CENTER OF NORTHERN COLORADO,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2011-03-28",
"status": "A",
"authorized_official_last_name": "KORELL",
"authorized_official_first_name": "SHELLY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "970-351-0900"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04008942",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
- Gabriele Fonseca Linex, RBT
- Domenica Fonseca
- Micaela Fontaninni, RDH
- Colleen Cooke Foos, MD
- Keiko Marie Foose, CNM
- Foot and Ankle Care of Boulder County (Foot & Ankle Care of Boulder County)
- Foot and Ankle Care of Boulder County (Foot & Ankle Care of Weld County)
- Foot and Ankle Center of the Rockies LLC
- Danika Forgach, M.D.
- Allison M Forlenza
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.