Avalanche Family Practice, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

AVALANCHE FAMILY PRACTICE, LLC

Practice address

3505 Austin Bluffs Pkwy Ste 306
Colorado Springs, CO 80918-5755

Phone

(719) 430-0620

NPI assigned

Jul 31, 2025

Organization subpart

No

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

Authorized official

Name

Christina Proulx, FNP-BCNPI 1649901000

Title

FNP-BC/ Owner

Phone

(719) 430-0620

Specialties & licenses 1

Addresses

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

Practitioners 2

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

• Christina Proulx, FNP-BC

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1649901000
  Medicare reassignment NPD Authorized official
• Jack Ford, M D

  • Gynecology Physician
  • Colorado Springs, CO
  • NPI 1558363234
  NPD (past)

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

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1093699357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 AUSTIN BLUFFS PKWY STE 306",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185755",
            "telephone_number": "719-430-0620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 AUSTIN BLUFFS PKWY STE 306",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185755",
            "telephone_number": "719-430-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVALANCHE FAMILY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-31",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "PROULX",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "FNP-BC/ OWNER",
        "authorized_official_telephone_number": "719-430-0620",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.