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BLUEWATER DREAM LTD NPI 1518089994


NPI Information

NPI: 1518089994
Provider Name: BLUEWATER DREAM, LTD

Doing Business As: PASSPORT HEALTH COLORADO

Classification: Registered Nurse - 163W00000X
Entity Type: Organization

CLIA Number: 06D1060680

Address:
405 URBAN ST
SUITE 330
LAKEWOOD, CO
ZIP 80228
Phone: (303) 442-8728
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BLUEWATER DREAM, LTD is a registered nurse in Lakewood, CO. The provider is (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. BLUEWATER DREAM, LTD NPI is 1518089994. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Passport Health Colorado.

The provider's business location address is:

405 URBAN ST
SUITE 330
LAKEWOOD, CO
ZIP 80228-211
Phone: (303) 442-8728
Fax: (303) 984-1590

The provider's authorized official is Michelle D Reesman .
The authorized official title is Executive Director and has the following contact phone number (303) 442-8728.

The CLIA number assigned to this NPI record is 06D1060680 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 8/22/2020.


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
1163W00000XRegistered Nurse128299COLORADOYes

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

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