Active NPI
Jazmin Genesis Gonzalez
- Chiropractor
- Fort Collins, CO
National Provider Identifier
1124995105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHR.0009006
- Practice address
- 2111 S College Ave Ste B
Fort Collins, CO 80525-5404 - Phone
- (720) 297-1086
- NPI assigned
- Oct 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0009006 | CO | Primary |
Addresses
Primary practice location
2111 S College Ave Ste B
Fort Collins, CO 80525-5404
Mailing address
2111 S College Ave Ste B
Fort Collins, CO 80525-5404
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0009006 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vida Wellness Center Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Within Physical Therapy PC | Current | Accepting new patients |
Locations
2111 S College Ave
Ste B
Fort Collins, CO 80525
Phone (970) 460-6770
8201 W 20th St
Greeley, CO 80634
Phone (970) 355-0566
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Fort Collins, CO
- NPI 1891624821
-
- Physical Therapist
- Greeley, CO
- NPI 1801583679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1124995105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2111 S COLLEGE AVE STE B",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 S COLLEGE AVE STE B",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255404",
"telephone_number": "720-297-1086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GONZALEZ",
"first_name": "JAZMIN",
"middle_name": "GENESIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-22",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0009006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.