Grace Mountain Health & Wellness LLC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

Legal business name

GRACE MOUNTAIN HEALTH & WELLNESS LLC

Practice address

500 San Juan St
Trinidad, CO 81082-2517

Phone

(304) 676-9947

NPI assigned

Nov 4, 2025

Organization subpart

No

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

Authorized official

Name

Jeffrey W Lewis

Title

Co-Owner

Phone

(304) 676-9947

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1762214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1023987229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SAN JUAN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SAN JUAN ST",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810822517",
            "telephone_number": "304-676-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE MOUNTAIN HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-04",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "304-676-9947"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikolai Gammage, PTA
• Vincent A Gatti Sr., ACA0008058 08312023
• Lana Geier, NP
• Gerald a. Cichocki, M.D., PC
• Thomas Perry Goodell, M.D.
• Shandell Graves, L.M.T.
• William Brian Greiser, MD
• Holly Gutierrez
• George H Hagen, O.D.
• Marquita Hahn, FNP-C

• Family Health Clinical Nurse Specialist in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Family Health Clinical Nurse Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.