Active NPI
A Caring Connection
- Preferred Provider Organization
- Canon City, CO
National Provider Identifier
1972783751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- 4116
- Legal business name
- A CARING CONNECTION
- Practice address
- 1335 Phay Ave
Ste E
Canon City, CO 81212 - Phone
- (719) 276-0801
- NPI assigned
- Nov 8, 2007
- 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
- Mrs. Judith Fay Visnack, MA LPC
- Title
- Owner Sole Proprietor
- Phone
- (719) 276-0801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | 4116 | CO | Primary |
Addresses
Primary practice location
1335 Phay Ave
Ste E
Canon City, CO 81212
Mailing address
1335 Phay Ave
Ste E
Canon City, CO 81212
Phone (719) 276-0801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 475954 | Medicaid | CO |
National Provider Directory
National Provider DirectoryLocations
1335 Phay Ave
Ste E
Canon City, CO 81212
Phone (719) 269-7608
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194480000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221609600000",
"number": "1972783751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 PHAY AVE",
"address_2": "STE E",
"city": "CANON CITY",
"state": "CO",
"postal_code": "81212",
"telephone_number": "719-276-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 PHAY AVE",
"address_2": "STE E",
"city": "CANON CITY",
"state": "CO",
"postal_code": "81212",
"telephone_number": "719-276-0801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A CARING CONNECTION",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-08",
"last_updated": "2008-09-17",
"status": "A",
"authorized_official_last_name": "VISNACK",
"authorized_official_first_name": "JUDITH",
"authorized_official_middle_name": "FAY",
"authorized_official_title_or_position": "OWNER SOLE PROPRIETOR",
"authorized_official_telephone_number": "719-276-0801",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA LPC"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "CO",
"license": "4116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "475954",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canon City, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.