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SUMMIT KETAMINE, PC
NPI 1912466004
Clinic/Center - Infusion Therapy in Parker, CO

Active since March 18, 2019
19284 COTTONWOOD DR STE 200, PARKER, CO 80138(719) 641-7614 Get Directions Write a Review

NPPES record last updated: March 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Summit Ketamine, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUMMIT KETAMINE, PC (NPI 1912466004), doing business as Summit Ketamine Innovations, is a healthcare organization registered as an infusion therapy in Parker, Colorado and active in the NPI registry since March 2019. The organization lists Sarah Lynn Coakley, President, as its authorized official.

NPPES Registry Identity

NPI1912466004
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameSUMMIT KETAMINE, PC
Location Address19284 COTTONWOOD DR STE 200Parker, CO 80138-3881
Mailing Address2077 S Clarkson StDenver, CO 80210-4105 · (719) 641-7614
Phone(719) 641-7614
Organization SubpartNo
Authorized OfficialSarah Lynn CoakleyPresident · (719) 641-7614
Enumeration DateMarch 18, 2019
✔ NPI 1912466004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
19284 COTTONWOOD DR STE 200, Parker, CO 80138
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Other Names 1

Doing Business AsSummit Ketamine Innovations

Other Identifiers 1

Other1578616413Personal Npi

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BE WELL PROJECT
Clinic/Center (Adult Mental Health)
19284 COTTONWOOD DR STE 200
PARKER, CO 80138
Douglas County (720) 213-8863

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Summit Ketamine, PC's NPI number?

The NPI number for Summit Ketamine, PC is 1912466004. It was assigned to this organization in the NPPES registry on March 18, 2019. The provider is doing business as Summit Ketamine Innovations.

Where is Summit Ketamine, PC located?

Summit Ketamine, PC is located at 19284 Cottonwood Dr Ste 200, Parker, CO 80138. The listed phone number is (719) 641-7614.

What is Summit Ketamine, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

When was this NPI record last updated?

The NPPES record for Summit Ketamine, PC was last updated on March 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.