Active NPI
Heather Frances Bare Augst, OTR
- Specialist
- Boulder, CO
National Provider Identifier
1972563724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2816
- Practice address
- 311 Mapleton Ave
Boulder, CO 80304-3979 - Phone
- (303) 440-2154
- NPI assigned
- Mar 24, 2006
- Last updated
- Jan 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OT3048 | CA | |
| Specialist | 174400000X | 2816 | CO | Primary |
Addresses
Primary practice location
311 Mapleton Ave
Boulder, CO 80304-3979
Mailing address
1375 N Ford St
Golden, CO 80403-1349
Phone (858) 405-8402
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT0030480 | Other | CA | BLUE SHIELD ID |
Other names 1
- Mrs. Heather Frances Bare
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2816 | CO | MD | Optometrist |
| OT3048 | CA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264032000000",
"number": "1972563724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1375 N FORD ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804031349",
"telephone_number": "858-405-8402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MAPLETON AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803043979",
"telephone_number": "303-440-2154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUGST",
"first_name": "HEATHER",
"middle_name": "FRANCES BARE",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-24",
"last_updated": "2010-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "OT3048",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CO",
"license": "2816",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD ID",
"identifier": "OT0030480",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "BARE",
"middle_name": "FRANCES",
"prefix": "MRS.",
"credential": "OTR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.