Organization
REGENTS OF THE UNIVERSITY OF COLORADO
Active
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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