Organization Active NPI

A Caring Connection

  • Preferred Provider Organization
  • Canon City, CO
National Provider Identifier
1972783751
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
4116 Issued in CO
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

Updated by the provider on Sep 17, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
475954MedicaidCO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.