BLUE NILE PRIMARY CARE, LLC (NPI# 1275072472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275072472 |
| Entity Type | Organization |
| Organization Name | BLUE NILE PRIMARY CARE, LLC |
| Practice Address |
11275 E Mississippi Ave Ste 2w2 Aurora CO 80012-3263 |
| Mailing Address |
195 Inverness Dr W Suite 120 Englewood CO 80112-5206 |
| Practice Telephone | 3038567177 |
| Mailing Telephone | 3035520657 |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | DR. JASON A HICKS (PRESIDENT) |
| Authorized Official Telephone | 3035520657 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
DR0046896 | CO | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Blue Nile Primary Care, LLC | 11275 E Mississippi Ave Suite 2s3, Aurora, CO 80012 |
| Street Address |
11275 E MISSISSIPPI AVE STE 2W2 |
| City | AURORA |
| State | CO |
| Zip Code | 80012-3263 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225650765 | Veronica Kabuika | Specialist/Technologist, Other | 6792 E Tennessee Ave, Suite 645, Denver, CO 80012 | 2020-05-07 |
| 1811547631 | Aurora Dental and Orthodontics Pllc | Dentist | 15000 E Mississippi Ave, Aurora, CO 80012 | 2019-09-13 |
| 1306362108 | Melynda Barrios | Massage Therapist | 11912 E Nevada Cir, Aurora, CO 80012 | 2017-08-14 |
| 1851815633 | Gabriela Alejandra Perez-saenz | Audiologist | 1550 S. Potomac St. #305, Aurora, CO 80012 | 2017-08-02 |
| 1568991511 | Iora Health Colorado, P.C. | Internal Medicine | 1080 S. Sable Blvd., Aurora, CO 80012 | 2017-06-05 |
| 1275069734 | Sandra Pacheco | Case Manager/Care Coordinator | 10782 E Alameda Avenue, Aurora, CO 80012 | 2017-05-03 |
| 1578002010 | Green Taxi Corporation | Taxi | 10 S Havana St #103, Aurora, CO 80012 | 2017-02-16 |
| 1104372713 | Moss LLC | Non-emergency Medical Transport (VAN) | 950 S Cimmaron Way Unit K-201, Aurora, CO 80012 | 2016-09-01 |
| 1023461647 | Thompson Sowash | Optometrist | 13955 E Mississippi, Aurora, CO 80012 | 2016-07-19 |
| 1598117731 | Act of Kindness LLC | Respite Care | 1010 S Joliet Street Suite #101, Aurora, CO 80012 | 2016-07-12 |
| Find all providers in zip 80012 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874761 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 23770 E Smoky Hill Rd Ste 240, Aurora, CO 80016-3089 | 2020-09-04 |
| 1386261493 | Keystone Primary Care | Clinic/Center | 11111 E Mississippi Ave Ste 112, Aurora, CO 80012-3106 | 2020-07-06 |
| 1740685023 | Robert R Greenheck, M.d. | Clinic/Center | 18962 E Kansas Dr, Aurora, CO 80017-4513 | 2014-10-28 |
| 1487925665 | Ardas LLC | Clinic/Center | 10180 E Colfax Ave Ste 150, Aurora, CO 80010 | 2012-01-20 |
| 1740580562 | Romanat Clinic, Inc | Clinic/Center | 13901 E. Exposition Ave, #230, Aurora, CO 80012-2535 | 2010-10-26 |
| 1124336524 | Eyes of Chicago, Ltd | Clinic/Center | 3015 E New York St Ste A4, Aurora, IL 60504-5165 | 2010-09-20 |
| 1447445895 | Community Health Services, Sc | Clinic/Center | 808 N Route 59, Aurora, IL 60504-4912 | 2007-09-10 |
| 1790390755 | Tlc Medical, LLC | Clinic/Center | 729 N. Claymill Cutoff Rd, Aurora, UT 84620-8462 | 2020-09-15 |
| 1639784010 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 23770 E Smoky Hill Rd, Aurora, CO 80016-3089 | 2020-09-11 |
| 1447865829 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 23770 E Smoky Hill Rd Ste 240, Aurora, CO 80016-3089 | 2020-09-11 |
| Find all providers in AURORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.