Active NPI
Feet Forward - Peer Services and Outreach
- Peer Specialist
- Boulder, CO
National Provider Identifier
1821820549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 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
National Provider Directory
National Provider DirectoryNPI 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.