Organization Active NPI

Wellnessyourwaycollc

  • Primary Care Clinic/Center
  • Broomfield, CO
National Provider Identifier
1104710128
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
WELLNESSYOURWAYCOLLC
Practice address
16286 Avalanche Run
Broomfield, CO 80023-8002
Phone
(720) 757-2007
NPI assigned
Jun 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Valerie Shade, FNP-CNPI 1164088597
Title
Owner, NP
Phone
(720) 757-2007

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

16286 Avalanche Run
Broomfield, CO 80023-8002

Mailing address

16286 Avalanche Run
Broomfield, CO 80023-8002
Phone (720) 757-2007

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1104710128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16286 AVALANCHE RUN",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238002",
            "telephone_number": "720-757-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16286 AVALANCHE RUN",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800238002",
            "telephone_number": "720-757-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESSYOURWAYCOLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "SHADE",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER, NP",
        "authorized_official_telephone_number": "720-757-2007",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

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