COLORADO INTEGRATIVE WELLNESS LLC NPI 1083201198

NPI Information

NPI: 1083201198
Provider Name: COLORADO INTEGRATIVE WELLNESS LLC
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Organization

Specialization: Women's Health

CLIA Number: 06D2276579

Address:
1175 S PERRY ST STE 250
CASTLE ROCK, CO
ZIP 80104
Phone: (303) 862-8061
Get Directions

COLORADO INTEGRATIVE WELLNESS LLC is a women's health nurse practitioner in Castle Rock, CO. COLORADO INTEGRATIVE WELLNESS LLC NPI is 1083201198. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1175 S PERRY ST STE 250
CASTLE ROCK, CO
ZIP 80104-017
Phone: (303) 862-8061
Fax: (720) 676-1411

The provider's authorized official is Clarissa Alumbaugh .
The authorized official title is Owner and has the following contact phone number (303) 862-8061.

The CLIA number assigned to this NPI record is 06D2276579 - other - nurse prac with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/22/2020 and was last updated on 12/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health			Yes
2	2083B0002X	Preventive Medicine	Obesity Medicine			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	84625562	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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