Individual provider Active NPI

Lori Michelle Siegesmund

  • Home Modifications Contractor
  • Grand Junction, CO
National Provider Identifier
1902479603
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
Practice address
2591 Legacy Way Unit 403
Grand Junction, CO 81503-1789
Phone
(970) 208-9009
NPI assigned
Jul 20, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor 171WH0202X Primary

Addresses

Primary practice location

2591 Legacy Way Unit 403
Grand Junction, CO 81503-1789

Mailing address

2695 Patterson Rd Ste 2-267
Grand Junction, CO 81506-8814
Phone (970) 208-9009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michelle.p@579construction.com

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

Practice roles

OrganizationSpecialtyStatusNew patients
579 Construction LLC CurrentSince Aug 8, 2021 Accepting new patients

Locations

2695 Patterson Rd
Ste 2267
Grand Junction, CO 81506
Phone (970) 208-9009

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1902479603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 PATTERSON RD STE 2-267",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068814",
            "telephone_number": "970-208-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 LEGACY WAY UNIT 403",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815031789",
            "telephone_number": "970-208-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGESMUND",
        "first_name": "LORI",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.p@579construction.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "2591 Legacy Way Unit 403",
            "city": "Grand Junction",
            "state": "CO",
            "country_code": "US",
            "postal_code": "815031789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.