PASSPORT HEALTH COLORADO
NPI 1518089994
Registered Nurse in Lakewood, CO

NPI Status: Active since April 04, 2007

Contact Information

405 URBAN ST
SUITE 330
LAKEWOOD, CO
ZIP 80228
Phone: (303) 442-8728
Fax: (303) 984-1590

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  • Organization
  • Registered Nurse
  • CLIA Number: 06D1060680
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 10-29-2026

About PASSPORT HEALTH COLORADO

This page provides the complete NPI Profile along with additional information for Passport Health Colorado, a provider established in Lakewood, Colorado operating as a Registered Nurse. The healthcare provider is registered in the NPI registry with number 1518089994 assigned on April 2007. The practitioner's primary taxonomy code is 163W00000X with license number 128299 (CO). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Passport Health Colorado. The authorized official of this NPI record is Mrs. Michelle D Reesman R.n. (Executive Director)

NPI
1518089994
Provider Legal Name
BLUEWATER DREAM, LTD
Other Organization Name
PASSPORT HEALTH COLORADO
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
405 URBAN ST SUITE 330 LAKEWOOD, CO 80228
Location Phone
(303) 442-8728
Location Fax
(303) 984-1590
Mailing Address
405 URBAN ST SUITE 330 LAKEWOOD, CO 80228
Mailing Phone
(303) 442-8728
Mailing Fax
(303) 984-1590
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2007
Last Update Date
08-22-2020
Code Navigator

A registered nurse (RN) like Passport Health Colorado coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Registered Nurse

Taxonomy Code
163W00000X
Type
Nursing Service Providers
License No.
128299
License State
CO
Taxonomy Description
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MICHELLE D REESMAN R.N.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(303) 442-8728

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D1060680
Facility Type
Practitioner Other
Certificate Effective Date
October 30, 2024
Certificate Expiration Date
October 29, 2026
Laboratory Director
MICHELLE D. REESMAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Passport Health Colorado to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1518089994, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 0 → 0 9 → 18 → 9 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 2 + 8 + 0 + 8 + 1 + 8 + 9 + 1 + 8 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1518089994.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518089994, enumerated as an "organization" on April 04, 2007.

The provider is located at 405 URBAN ST SUITE 330 LAKEWOOD, CO 80228 and the phone number is (303) 442-8728.

Registered Nurse with taxonomy code 163W00000X.