Organization Active NPI

Vida Plena Wellness

  • Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1063200053
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
VIDA PLENA WELLNESS
Practice address
81 W 84TH Ave Ste 180
Thornton, CO 80260-4830
Phone
(720) 272-1323
NPI assigned
Apr 29, 2025
Last updated
May 20, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Authorized official

Name
Alma Silva Gutierrez, NPNPI 1750865374
Title
NP/Owner
Phone
(720) 272-1323

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary
Family Nurse Practitioner 363LF0000X
Primary Care Nurse Practitioner 363LP2300X

Addresses

Primary practice location

81 W 84TH Ave Ste 180
Thornton, CO 80260-4830

Mailing address

737 S Prairie Dr
Milliken, CO 80543-3192
Phone (720) 272-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250513001785 CO Part B Supplier - Clinic/Group Practice 1355869488 Receives reassigned benefits from 3 practitioners
Practice locations: Thornton, CO

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2323821Vida Plena Wellness, LLC81 W 84TH Ave, Suite 165, Thornton, CO 80260Certificate of waiverMay 13, 2027

National Provider Directory

National Provider Directory

Locations

81 W 84th Ave
Ste 165
Thornton, CO 80260
Phone (720) 989-0354

81 W 84th Ave
Ste 180
Thornton, CO 80260
Phone (720) 272-1323

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747699200000",
    "number": "1063200053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 S PRAIRIE DR",
            "city": "MILLIKEN",
            "state": "CO",
            "postal_code": "805433192",
            "telephone_number": "720-272-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 W 84TH AVE STE 180",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802604830",
            "telephone_number": "720-272-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDA PLENA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A",
        "authorized_official_last_name": "SILVA GUTIERREZ",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "720-272-1323",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.