Westside Wellness PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WESTSIDE WELLNESS PLLC

Doing business as

Jill E Smothers FNP, PLLC

Practice address

2020 W Colorado Ave Ste 201
Colorado Springs, CO 80904-3863

Phone

(719) 646-6746

Fax

(719) 434-9556

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Jill Smothers, FNPNPI 1912104183

Title

Owner, Managing Member

Phone

(719) 646-6746

Specialties & licenses 1

Addresses

Other names 1

• Jill E Smothers FNP, PLLC Doing business as

Locations

Practitioners 1

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

• Jill Elene Smothers, NP

  • Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1912104183
  NPD Authorized official

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1053880120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W COLORADO AVE STE 301",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043882",
            "telephone_number": "719-646-6746",
            "fax_number": "719-473-4581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W COLORADO AVE STE 201",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043863",
            "telephone_number": "719-646-6746",
            "fax_number": "719-434-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "SMOTHERS",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OWNER, MANAGING MEMBER",
        "authorized_official_telephone_number": "719-646-6746",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill E Smothers FNP, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jill E Smothers FNP, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Westside Assisted Living, Inc.
• Westside Birth Connection
• Westside Dental Holdings PLLC
• Westside Family Dentistry, PC
• Westside PT,LLC
• Westside Word of Mouth Dental, PC
• Wet Mountain Counseling Services P.L.L.C. (Potential)
• Kelly Michelle Wetherill, PA-C
• Blake Robert Wetzel, DC
• Lindy Kay Wetzel, LCSW

• Clinic/Center in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.