Organization Active NPI

Avista Womens Care PC

  • Specialist
  • Lafayette, CO
National Provider Identifier
1821220245
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AVISTA WOMENS CARE PC
Practice address
1225 Cimarron Dr
Suite 101
Lafayette, CO 80026-3812
Phone
(303) 439-8910
Fax
(720) 890-2868
NPI assigned
Aug 18, 2009
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Ms. Mikki Baker
Title
Billing Lead
Phone
(303) 439-8910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1225 Cimarron Dr
Suite 101
Lafayette, CO 80026-3812

Mailing address

90 Health Park Dr
Suite 290
Louisville, CO 80027-9757
Phone (303) 439-8910

Other identifiers 1

IdentifierTypeStateIssuer
06483577MedicaidCO

National Provider Directory

National Provider Directory

Locations

1225 Cimarron Dr
Unit 101
Lafayette, CO 80026
Phone (303) 439-8910

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1821220245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 HEALTH PARK DR",
            "address_2": "SUITE 290",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800279757",
            "telephone_number": "303-439-8910",
            "fax_number": "303-439-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CIMARRON DR",
            "address_2": "SUITE 101",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263812",
            "telephone_number": "303-439-8910",
            "fax_number": "720-890-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVISTA WOMENS CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "MIKKI",
        "authorized_official_title_or_position": "BILLING LEAD",
        "authorized_official_telephone_number": "303-439-8910",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06483577",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.