Organization
REGENTS OF THE UNIVERSITY OF COLORADO
Active
Other names
UCCS HealthCircle Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERSON M SPICHER DNP,FNP (ASSOCIATE DEAN FOR CLINICAL AFFAIRS)
(719) 255-4474
Entity
Organization
Contact information
Practice address
4863 N NEVADA AVE STE 250, COLORADO SPRINGS, CO 80918-3951
(719) 255-8001
(719) 255-8044
Mailing address
4863 N NEVADA AVE STE 250, COLORADO SPRINGS, CO 80918-3951
(719) 255-8001
(719) 255-8044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12107875
—
CO
Enumeration date
05/24/2018
Last updated
10/08/2021
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