Individual provider Active NPI

Valerie Anne Shade, FNP-C

  • Family Nurse Practitioner
  • Broomfield, CO
National Provider Identifier
1164088597
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994607-NP Issued in CO
Practice address
16286 Avalanche Run
Broomfield, CO 80023-8002
Phone
(720) 757-2007
NPI assigned
May 10, 2019
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0994607-NP CO 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, FL, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190613002197 CO Practitioner - Nurse Practitioner 4486987070 Reassigns benefits to 2 organizations
I20240730004064 FL Practitioner - Nurse Practitioner 4486987070 Reassigns benefits to 1 organization
I20240909002212 TX Practitioner - Nurse Practitioner 4486987070 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellnessyourwaycollc CurrentSince Jun 8, 2025 Accepting new patients
Longevity Clinical LTC Associates of Texas, PLLC CurrentSince Aug 1, 2024 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince May 29, 2019 Accepting new patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients
Longevity Accountable Care, PA CurrentSince Jul 31, 2024 Accepting new patients

Locations

1891 State Highway 7
Erie, CO 80516
Phone (303) 729-4170

1842 N College Ave
Ste 3
Fort Collins, CO 80524
Phone (970) 494-6975

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

401 Fairwood Ave
Clearwater, FL 33759
Phone (727) 210-2600

800 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-1550

600 Business Park Way
Royal Palm Beach, FL 33411
Phone (561) 732-1050

2939 S Haverhill Rd
West Palm Beach, FL 33415
Phone (561) 641-3130

2620 Elm Hill Pike
Nashville, TN 37214
Phone (615) 425-4211

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1164088597",
    "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",
            "fax_number": "720-796-9050"
        },
        {
            "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": {
        "last_name": "SHADE",
        "first_name": "VALERIE",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-10",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994607-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.