Active NPI
Professional Immunizations & Medical Services LLC
- Registered Nurse
- Centennial, CO
National Provider Identifier
1942582135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 59186
- Legal business name
- PROFESSIONAL IMMUNIZATIONS & MEDICAL SERVICES LLC
- Practice address
- 5933 E Geddes Cir
Centennial, CO 80112-1516 - Phone
- (303) 741-3955
- Fax
- (720) 493-8437
- NPI assigned
- Sep 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jane Marie Masterson, RN
- Title
- President
- Phone
- (303) 741-3955
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 59186 | CO | Primary |
Addresses
Primary practice location
5933 E Geddes Cir
Centennial, CO 80112-1516
Mailing address
5933 E Geddes Cir
Centennial, CO 80112-1516
Phone (303) 741-3955
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315872000000",
"number": "1942582135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5933 E GEDDES CIR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121516",
"telephone_number": "303-741-3955",
"fax_number": "720-493-8437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5933 E GEDDES CIR",
"city": "CENTENNIAL",
"state": "CO",
"postal_code": "801121516",
"telephone_number": "303-741-3955",
"fax_number": "720-493-8437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL IMMUNIZATIONS & MEDICAL SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-13",
"last_updated": "2011-09-13",
"status": "A",
"authorized_official_last_name": "MASTERSON",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "303-741-3955",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "CO",
"license": "59186",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Centennial, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.