Olivia Christine Puccio, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DR.0070948 Issued in CO

Practice address

9094 E Mineral Cir Ste 120
Centennial, CO 80112-7201

Phone

(303) 779-5437

NPI assigned

May 29, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: opuccio200817@direct.childrenscolorado.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children's Hospital Colorado

  • Clinical Social Worker
  • Aurora, CO
  • NPI 1174282776
  NPD
• Pediatrics 5280 PC

  • Primary Care Clinic/Center
  • Centennial, CO
  • NPI 1629030689

  Pediatrics

  NPD (past)
• Pediatrics 5280, PC

  • Pediatrics Physician
  • Castle Rock, CO
  • NPI 1134545395
  NPD (past)

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1831713478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 IOLA ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383199",
            "telephone_number": "328-603-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9094 E MINERAL CIR STE 120",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801127201",
            "telephone_number": "303-779-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCIO",
        "first_name": "OLIVIA",
        "middle_name": "CHRISTINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "DR.0070948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda M Pruitt
• Sarah Prust
• Katrina Prutch, PTA
• Inna Prykhodko, FNP
• Psychotherapy Counseling Services, LLC
• Pure Potential Therapeutic Services, LLC
• Pure Potential Therapeutic Services, LLC
• Purple Turtle Pediatric Therapy, LLC
• Purple Turtle Pediatric Therapy, LLC
• Alfonso Puzzo, O.D.

• Pediatrics Physician in Centennial, CO
• Providers in Centennial, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.