Healthcare Provider Details

I. General information

NPI: 1568833713
Provider Name (Legal Business Name): CAREPOINT INPATIENT BLUE SKY NEUROLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2015
Last Update Date: 10/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

499 E HAMPDEN AVE STE. 360
ENGLEWOOD CO
80113-2780
US

IV. Provider business mailing address

5600 S QUEBEC ST STE 312A
GREENWOOD VILLAGE CO
80111-2208
US

V. Phone/Fax

Practice location:
  • Phone: 303-781-4485
  • Fax: 720-274-0064
Mailing address:
  • Phone: 303-436-2720
  • Fax: 303-436-2710

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH SMITH
Title or Position: VP/GENERAL COUNSEL
Credential: J.D.
Phone: 303-436-2720