Organization Active NPI

Laurie F Niles, DNP, PLLC

  • Clinic/Center
  • Fort Collins, CO
National Provider Identifier
1194436451
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LAURIE F NILES, DNP, PLLC
Practice address
5757 Northern Lights Dr
Fort Collins, CO 80528-6911
Phone
(970) 980-8685
Fax
(970) 233-4560
NPI assigned
Dec 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Mr. David W Niles, PHD
Title
Office Manager
Phone
(970) 980-8685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

5757 Northern Lights Dr
Fort Collins, CO 80528-6911

Mailing address

5757 Northern Lights Dr
Fort Collins, CO 80528-6911
Phone (970) 980-8685

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": "1670371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1194436451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 NORTHERN LIGHTS DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286911",
            "telephone_number": "970-980-8685",
            "fax_number": "970-233-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 NORTHERN LIGHTS DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805286911",
            "telephone_number": "970-980-8685",
            "fax_number": "970-233-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAURIE F NILES, DNP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "NILES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "970-980-8685",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "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 Dec 7, 2022; 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.