Organization Active NPI

Headache Prevention and Wellness, PC

  • Medical Specialty Clinic/Center
  • Broomfield, CO
National Provider Identifier
1902190531
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
34882 Issued in CO
Legal business name
HEADACHE PREVENTION AND WELLNESS, PC
Doing business as
Colorado Pediatric Neurology and Headache
Practice address
340 E 1St Ave
Suite 205
Broomfield, CO 80020-2401
Phone
(303) 439-7777
Fax
(303) 469-9050
NPI assigned
May 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Dr. Tonia Marie Sabo, MD
Title
Medical Director
Phone
(303) 439-7777

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133NN1002X 34882 CO
Neurology Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251N0400X 34882 CO
Community Health Clinic/Center 261QC1500X 34882 CO
Health Service Clinic/Center 261QH0100X 34882 CO
Multi-Specialty Clinic/Center 261QM1300X 34882 CO
Medical Specialty Clinic/Center 261QM2500X 34882 CO Primary
Pain Clinic/Center 261QP3300X 34882 CO

Addresses

Primary practice location

340 E 1St Ave
Suite 205
Broomfield, CO 80020-2401

Mailing address

340 E 1St Ave
Suite 205
Broomfield, CO 80020-2401
Phone (303) 439-7777

Other identifiers 2

IdentifierTypeStateIssuer
34882OtherCOBOULDER VALLEY IPA
1487739132OtherCOTONIA SABO, MD

Other names 1

  • Colorado Pediatric Neurology and Headache Doing business as

National Provider Directory

National Provider Directory

Locations

340 E 1st Ave
Ste 205
Broomfield, CO 80020
Phone (303) 439-7777

NPI Registry JSON

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1902190531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 E 1ST AVE",
            "address_2": "SUITE 205",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202401",
            "telephone_number": "303-439-7777",
            "fax_number": "303-469-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 E 1ST AVE",
            "address_2": "SUITE 205",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800202401",
            "telephone_number": "303-439-7777",
            "fax_number": "303-469-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEADACHE PREVENTION AND WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-31",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "SABO",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-439-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": "CO",
            "license": "34882",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": "CO",
            "license": "34882",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CO",
            "license": "34882",
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "34882",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CO",
            "license": "34882",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CO",
            "license": "34882",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CO",
            "license": "34882",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOULDER VALLEY IPA",
            "identifier": "34882",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TONIA SABO, MD",
            "identifier": "1487739132",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Pediatric Neurology and Headache",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.