Organization Active NPI

Pivotal Edge, LLC

  • Clinic/Center
  • Littleton, CO
National Provider Identifier
1942956875
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PIVOTAL EDGE, LLC
Practice address
8156 S Wadsworth Blvd Unit E-164
Littleton, CO 80128-9114
Phone
(720) 930-1738
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Andrea FowlerNPI 1578801833
Title
Owner
Phone
(720) 930-1738

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

8156 S Wadsworth Blvd Unit E-164
Littleton, CO 80128-9114

Mailing address

8156 S Wadsworth Blvd Unit E-164
Littleton, CO 80128-9114
Phone (720) 930-1738

National Provider Directory

National Provider Directory

Locations

8156 S Wadsworth Blvd
Unit E164
Littleton, CO 80128
Phone (720) 930-1738

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1942956875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8156 S WADSWORTH BLVD UNIT E-164",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801289114",
            "telephone_number": "720-930-1738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8156 S WADSWORTH BLVD UNIT E-164",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801289114",
            "telephone_number": "720-930-1738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOTAL EDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-930-1738"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.