Complete Wellness Familly Medicine, PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

COMPLETE WELLNESS FAMILLY MEDICINE, PLLC

Practice address

2627 Redwing Rd Ste 300
Fort Collins, CO 80526-6310

Phone

(970) 213-0378

Fax

(970) 672-8137

NPI assigned

Sep 14, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathleen R MaguireNPI 1710005475

Title

Owner

Phone

(970) 631-8650

Specialties & licenses 1

Addresses

Other names 1

• Complete Wellness Family Medicine, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen R Maguire, PA-C

  • Medical Physician Assistant
  • Fort Collins, CO
  • NPI 1710005475
  Medicare reassignment Care Compare group Authorized official
• Anna Marie Pickett, P.A.-C

  • Physician Assistant
  • Fort Collins, CO
  • NPI 1275878324
  Medicare reassignment Care Compare group
• John David Cranor, MD

  • Family Medicine Physician
  • Fort Collins, CO
  • NPI 1962516328
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1003538240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 REDWING RD STE 260",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266353",
            "telephone_number": "970-213-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2627 REDWING RD STE 300",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266310",
            "telephone_number": "970-213-0378",
            "fax_number": "970-672-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE WELLNESS FAMILLY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "MAGUIRE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-631-8650"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Wellness Family Medicine, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• James O Compton, LMFT
• Kaylen Mychal Compton, LPC
• Rand F Compton, MD
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• Medical Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.