NPIMap

Organization Active NPI

Spine Surgery Assistants PC

  • Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1861797243
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
63736 Issued in CO
Legal business name
SPINE SURGERY ASSISTANTS PC
Practice address
9005 Grant St
Suite 200
Thornton, CO 80229-4300
Phone
(303) 287-2800
Fax
(303) 287-7357
NPI assigned
Jan 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Authorized official

Name
Ms. Debbie A Lucero, 3032872800
Title
Physician Liaison Manager
Phone
(303) 287-2800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X 2352 CO
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X 63736 CO Primary

Addresses

Primary practice location

9005 Grant St
Suite 200
Thornton, CO 80229-4300

Mailing address

PO Box 29550
Thornton, CO 80229-0550
Phone (303) 287-2800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1295222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1861797243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29550",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802290550",
            "telephone_number": "303-287-2800",
            "fax_number": "303-287-7357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 GRANT ST",
            "address_2": "SUITE 200",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802294300",
            "telephone_number": "303-287-2800",
            "fax_number": "303-287-7357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE SURGERY ASSISTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-17",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "LUCERO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN LIAISON MANAGER",
        "authorized_official_telephone_number": "303-287-2800",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "3032872800"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2352",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "63736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.