General Health Medical PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0991226 Issued in CO

Legal business name

GENERAL HEALTH MEDICAL PLLC

Doing business as

Living Water Medical Center

Practice address

700 Colorado Blvd Ste 420
Denver, CO 80206-4084

Phone

(720) 924-1478

Fax

(877) 520-8928

NPI assigned

May 15, 2015

Last updated

Nov 20, 2018By 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

Isa Jo, NP

Title

Nurse Practitioner/Medical Director

Phone

(209) 241-4787

Specialties & licenses 1

Addresses

Other names 1

• Living Water Medical Center Doing business as

Locations

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

{
    "created_epoch": "1431648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542672000000",
    "number": "1780062315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 COLORADO BLVD STE 420",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064084",
            "telephone_number": "720-924-1478",
            "fax_number": "877-520-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 COLORADO BLVD STE 420",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802064084",
            "telephone_number": "720-924-1478",
            "fax_number": "877-520-8928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "829 N Circle Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809095008",
            "country_code": "US",
            "telephone_number": "719-522-3763",
            "fax_number": "855-456-2682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GENERAL HEALTH MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-15",
        "last_updated": "2018-11-20",
        "status": "A",
        "authorized_official_last_name": "JO",
        "authorized_official_first_name": "ISA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-241-4787",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Water Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Nurse Practitioner in Denver, CO
• Providers in Denver, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.