Organization Active NPI

Feet Forward - Peer Services and Outreach

  • Peer Specialist
  • Boulder, CO
National Provider Identifier
1821820549
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
FEET FORWARD - PEER SERVICES AND OUTREACH
Practice address
1212 Canyon Blvd
Boulder, CO 80302
Phone
(720) 520-2097
NPI assigned
Aug 20, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Authorized official

Name
Ms. Mary A. Putman
Title
Organizational Constultant
Phone
(720) 840-2443

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary
Case Management Agency 251B00000X

Addresses

Primary practice location

1212 Canyon Blvd
Boulder, CO 80302

Mailing address

1043 E 20TH Ave
Denver, CO 80205-5201
Phone (720) 840-2443

Other names 1

  • Boulder Feet Forward Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1821820549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1043 E 20TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055201",
            "telephone_number": "720-840-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 CANYON BLVD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80302",
            "telephone_number": "720-520-2097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEET FORWARD - PEER SERVICES AND OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "PUTMAN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ORGANIZATIONAL CONSTULTANT",
        "authorized_official_telephone_number": "720-840-2443",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boulder Feet Forward",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.