Individual provider Active NPI

Deanne Lembitz, MD

  • Family Medicine Physician
  • Fort Collins, CO
National Provider Identifier
1831275064
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CO 28234 Issued in CO
Practice address
4630 Royal Vista Circle
Ste 7
Fort Collins, CO 80528-9371
Phone
(970) 530-0575
Fax
(970) 530-0581
NPI assigned
Oct 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CO 28234 CO Primary

Addresses

Primary practice location

4630 Royal Vista Circle
Ste 7
Fort Collins, CO 80528-9371

Mailing address

4630 Royal Vista Circle
Ste 7
Fort Collins, CO 80528-9371
Phone (970) 530-0575

Other identifiers 2

IdentifierTypeStateIssuer
01282342MedicaidCO
LER4658OtherCOBLUE CROSS BLUE SHIELD

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CO 28234COMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831275064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 ROYAL VISTA CIRCLE",
            "address_2": "STE 7",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805289371",
            "telephone_number": "970-530-0575",
            "fax_number": "970-530-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 ROYAL VISTA CIRCLE",
            "address_2": "STE 7",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805289371",
            "telephone_number": "970-530-0575",
            "fax_number": "970-530-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMBITZ",
        "first_name": "DEANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "CO 28234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01282342",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "LER4658",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.