Active NPI
Colorado Integrative Wellness LLC
- Women's Health Nurse Practitioner
- Castle Rock, CO
National Provider Identifier
1083201198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- Legal business name
- COLORADO INTEGRATIVE WELLNESS LLC
- Practice address
- 1175 S Perry St Ste 250
Castle Rock, CO 80104-0017 - Phone
- (303) 862-8061
- Fax
- (720) 676-1411
- NPI assigned
- Dec 22, 2020
- Organization subpart
- Yes
- Parent organization
- COLORADO INTEGRATIVE HEALTHCARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clarissa Alumbaugh, NP
- Title
- Owner
- Phone
- (303) 862-8061
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obesity Medicine (Preventive Medicine) Physician | 2083B0002X | |||
| Women's Health Nurse Practitioner | 363LW0102X | Primary |
Addresses
Primary practice location
1175 S Perry St Ste 250
Castle Rock, CO 80104-0017
Mailing address
1175 S Perry St Ste 250
Castle Rock, CO 80104-0017
Phone (303) 862-8061
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84625562 | Medicaid | CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2276579 | Colorado Integrative Wellness | Provider-performed microscopy | Feb 9, 2027 |
National Provider Directory
National Provider Directory- Part of
- Colorado Integrative Healthcare LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Women's Health Nurse Practitioner
- Castle Rock, CO
- NPI 1922334937
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608595200000",
"number": "1083201198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 S PERRY ST STE 250",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801040017",
"telephone_number": "303-862-8061",
"fax_number": "720-676-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1175 S PERRY ST STE 250",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801040017",
"telephone_number": "303-862-8061",
"fax_number": "720-676-1411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLORADO INTEGRATIVE WELLNESS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COLORADO INTEGRATIVE HEALTHCARE LLC",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A",
"authorized_official_last_name": "ALUMBAUGH",
"authorized_official_first_name": "CLARISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-862-8061",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "2083B0002X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Obesity Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Women's Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "84625562",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
- Colorado Dental Professionals, LLC
- Colorado Family Orthopaedics, PC
- Colorado Home Health, LLC
- Colorado Home Health, LLC
- Colorado Integrative Healthcare LLC
- Colorado Medical Mobility
- Colorado Orthopoedic Surgery Assistants PLLC
- Colorado Pain Practice, LLC
- Colorado Pain Practice, PLLC
- Colorado Permanente Medical Group, P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.