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REGENTS OF THE UNIVERSITY OF COLORADO NPI 1366933426


NPI Information

NPI: 1366933426
Provider Name: REGENTS OF THE UNIVERSITY OF COLORADO

Doing Business As: UCCS HEALTHCIRCLE PRIMARY CARE CLINIC

Classification: Nurse Practitioner - 363LP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 06D2073515

Address:
4863 N NEVADA AVE STE 250
COLORADO SPRINGS, CO
ZIP 80918
Phone: (719) 255-8001
Get Directions

REGENTS OF THE UNIVERSITY OF COLORADO is a primary care nurse practitioner in Colorado Springs, CO. REGENTS OF THE UNIVERSITY OF COLORADO NPI is 1366933426. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Uccs Healthcircle Primary Care Clinic.

The provider's business location address is:

4863 N NEVADA AVE STE 250
COLORADO SPRINGS, CO
ZIP 80918-951
Phone: (719) 255-8001
Fax: (719) 255-8044

The provider's authorized official is Jefferson M Spicher .
The authorized official title is Associate Dean For Clinical Affairs and has the following contact phone number (719) 255-4474.

The CLIA number assigned to this NPI record is 06D2073515 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/24/2018 and was last updated on 10/8/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2103T00000XPsychologistNo
3133V00000XDietitian, RegisteredNo
4363LA2200XNurse PractitionerAdult HealthNo
5363LF0000XNurse PractitionerFamilyNo
6363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
7367A00000XAdvanced Practice MidwifeNo
8363LP2300XNurse PractitionerPrimary CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112107875MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.