THE LITTLE CLINIC OF COLORADO LLC NPI 1366049173

NPI Information

NPI: 1366049173
Provider Name: THE LITTLE CLINIC OF COLORADO LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 06D2097148

Address:
13700 COLORADO BLVD
THORNTON, CO
ZIP 80602
Phone: (303) 451-4250
Get Directions

THE LITTLE CLINIC OF COLORADO LLC is a family nurse practitioner in Thornton, CO. THE LITTLE CLINIC OF COLORADO LLC NPI is 1366049173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13700 COLORADO BLVD
THORNTON, CO
ZIP 80602-024
Phone: (303) 451-4250

The provider's authorized official is Marc Robert Watkins .
The authorized official title is Cmo and has the following contact phone number (615) 425-4221.

The CLIA number assigned to this NPI record is 06D2097148 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2020 and was last updated on 10/5/2020.

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	363A00000X	Physician Assistant				No
2	363LF0000X	Nurse Practitioner	Family			Yes

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	9000165350	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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