Family Care Specialists, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

38366 Issued in CO

Legal business name

FAMILY CARE SPECIALISTS, INC.

Practice address

201 Lamkin St
Unit 101
Pueblo, CO 81003-3476

Phone

(719) 543-6633

Fax

(719) 543-6655

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Louise Moya, M.D.NPI 1922177831

Title

Owner

Phone

(719) 543-6633

Specialties & licenses 1

Addresses

Other names 1

• Family Care Specialists, Prof LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 12

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

• Nancy Louise Moya, M.D.

  • Family Medicine Physician
  • Pueblo, CO
  • NPI 1922177831
  Medicare reassignment NPD Authorized official
• Samantha Zambrano, FNP

  • Family Nurse Practitioner
  • Honolulu, HI
  • NPI 1306691241

  CO

  Medicare reassignment NPD
• Micaela Gale, PA-C

  • Physician Assistant
  • Colorado Springs, CO
  • NPI 1366917031
  Medicare reassignment
• Brina J Wade, PA-C

  • Physician Assistant
  • Pueblo, CO
  • NPI 1295279974
  Medicare reassignment
• Spencer A Bradford, PA-S2

  • Physician Assistant
  • Baltimore, MD
  • NPI 1205478914

  CO

  Medicare reassignment
• Audrey Lee Bustamante

  • School Social Worker
  • Pueblo, CO
  • NPI 1205679735
  NPD
• Lindsey Nicole Dazzo, FNP-BC

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1477199487
  NPD
• Heather Patricia Lind, RN

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1407741259
  NPD
• Krystal Marie Shotliff, FNP

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1063138162
  NPD
• Amanda Michelle Meade, FNP-C

  • Family Nurse Practitioner
  • Fort Riley, KS
  • NPI 1326535618
  NPD
• Daniel Emilio Marquez, FNP-BC, AGACNP-BC

  • Family Nurse Practitioner
  • Pueblo, CO
  • NPI 1154898914
  NPD (past)
• Sarah Taylor Smith, PA-C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1750035275
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644969600000",
    "number": "1992878664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LAMKIN ST",
            "address_2": "UNIT 101",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033476",
            "telephone_number": "719-543-6633",
            "fax_number": "719-543-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAMKIN ST",
            "address_2": "UNIT 101",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033476",
            "telephone_number": "719-543-6633",
            "fax_number": "719-543-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A",
        "authorized_official_last_name": "MOYA",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-543-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "38366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Care Specialists, Prof LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Holly Fairbairn
• Zia Faizi
• Jennifer Fall, LPC
• Cynthia Renee Fallhowe, M.D.
• Family & Kids Dental PC
• Family Eye Center Incorporated
• Family Medical Center LLC
• Family Medicine of Pueblo PLLC
• Family Medicine Specialists, Inc
• Family Smiles

• Family Medicine Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.