Active NPI
Jeremiah Daniel Puebla
- Counselor
- Aurora, CO
National Provider Identifier
1811320484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 11059 E Bethany Dr Ste 200
Aurora, CO 80014-2637 - Phone
- (303) 617-2300
- NPI assigned
- Aug 18, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
11059 E Bethany Dr Ste 200
Aurora, CO 80014-2637
Mailing address
11059 E Bethany Dr Ste 200
Aurora, CO 80014-2637
Phone (303) 617-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376784000000",
"number": "1811320484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11059 E BETHANY DR STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800142637",
"telephone_number": "303-617-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11059 E BETHANY DR STE 200",
"city": "AURORA",
"state": "CO",
"postal_code": "800142637",
"telephone_number": "303-617-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUEBLA",
"first_name": "JEREMIAH",
"middle_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-18",
"last_updated": "2013-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.