Active NPI
Uintah Shabazz
- Community Health Registered Nurse
- Arvada, CO
National Provider Identifier
1851471619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 140808
- Practice address
- 6303 Wadsworth Bypass
Arvada, CO 80003-4838 - Phone
- (303) 275-7517
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 140808 | CO | Primary |
Addresses
Primary practice location
6303 Wadsworth Bypass
Arvada, CO 80003-4838
Mailing address
6303 Wadsworth Bypass
Arvada, CO 80003-4838
Phone (303) 275-7517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54383234 | Medicaid | CO |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140808 | CO | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851471619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6303 WADSWORTH BYPASS",
"city": "ARVADA",
"state": "CO",
"postal_code": "800034838",
"telephone_number": "303-275-7517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 WADSWORTH BYPASS",
"city": "ARVADA",
"state": "CO",
"postal_code": "800034838",
"telephone_number": "303-275-7517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHABAZZ",
"first_name": "UINTAH",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CO",
"license": "140808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54383234",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arvada, 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.