Organization Active NPI

Woodland Park Family Medicine

  • Family Nurse Practitioner
  • Woodland Park, CO
National Provider Identifier
1831649839
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0992468 Issued in CO
Legal business name
WOODLAND PARK FAMILY MEDICINE
Practice address
16222 W US Highway 24
Suite 200
Woodland Park, CO 80863-8762
Phone
(719) 686-2801
NPI assigned
Oct 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Geneva Lay
Title
Office Manager
Phone
(719) 686-2801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APN0992468 CO Primary

Addresses

Primary practice location

16222 W US Highway 24
Suite 200
Woodland Park, CO 80863-8762

Mailing address

16222 W US Highway 24
Suite 200
Woodland Park, CO 80863-8762

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1831649839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16222 W US HIGHWAY 24",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16222 W US HIGHWAY 24",
            "address_2": "SUITE 200",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808638762",
            "telephone_number": "719-686-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODLAND PARK FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "LAY",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "719-686-2801"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN0992468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.