NPIMap

Organization Active NPI

Spinal Cord Injury Recovery Project

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1841625902
Registry record updated Sep 9, 2013
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Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47329 Issued in CO
Legal business name
SPINAL CORD INJURY RECOVERY PROJECT
Practice address
866 E 78TH Ave
Denver, CO 80229-5934
Phone
(303) 286-0918
NPI assigned
Sep 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2013

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

Authorized official

Name
Mrs. Amanda Nichole Wilson
Title
Executive Director
Phone
(303) 286-0918

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 47329 CO Primary

Addresses

Primary practice location

866 E 78TH Ave
Denver, CO 80229-5934

Mailing address

866 E 78TH Ave
Denver, CO 80229-5934

National Provider Directory

National Provider Directory
Tax ID family
Neuability2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378684800000",
    "number": "1841625902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 E 78TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802295934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 E 78TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802295934",
            "telephone_number": "303-286-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL CORD INJURY RECOVERY PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2013-09-09",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "NICHOLE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "303-286-0918",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "47329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; 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.