Organization Active NPI

Innovation Primary Care and Internal Medicine

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1801567235
Registry record updated Sep 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
INNOVATION PRIMARY CARE AND INTERNAL MEDICINE
Practice address
1432 Acacia Dr
Colorado Springs, CO 80907-4806
Phone
(719) 201-8703
NPI assigned
Sep 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2021

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

Authorized official

Name
Julie Ayaad, NONPI 1710524137
Title
Owner/NP
Phone
(719) 201-8703

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1432 Acacia Dr
Colorado Springs, CO 80907-4806

Mailing address

1432 Acacia Dr
Colorado Springs, CO 80907-4806
Phone (719) 201-8703

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632441600000",
    "number": "1801567235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1432 ACACIA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074806",
            "telephone_number": "719-201-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 ACACIA DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074806",
            "telephone_number": "719-201-8703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION PRIMARY CARE AND INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "AYAAD",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "719-201-8703",
        "authorized_official_credential": "NO"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.