Healthcare Provider Details

I. General information

NPI: 1831670983
Provider Name (Legal Business Name): ZZAP PEDIATRICS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2018
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4650 SIGNAL TREE DR UNIT 400
TIMNATH CO
80547-4902
US

IV. Provider business mailing address

4650 SIGNAL TREE DR UNIT 400
TIMNATH CO
80547-4902
US

V. Phone/Fax

Practice location:
  • Phone: 970-812-9277
  • Fax: 970-999-8865
Mailing address:
  • Phone: 970-812-9277
  • Fax: 970-999-8865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. AMANDA HARDING
Title or Position: PHYSICIAN
Credential: MD
Phone: 970-812-9927