Lifespan Family Medical Services

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

105668 Issued in CO

Legal business name

LIFESPAN FAMILY MEDICAL SERVICES

Practice address

320 W Olive St
Fort Collins, CO 80521-2716

Phone

(970) 484-9533

Fax

(970) 484-9544

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Pamela Pastore, FNP-BC

Title

Owner

Phone

(970) 484-9533

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Mary Cavanaugh McAfee, M.S. FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
  • NPI 1811001639
  NPD (past)

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264118400000",
    "number": "1285703652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 W OLIVE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212716",
            "telephone_number": "970-484-9533",
            "fax_number": "970-484-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 W OLIVE ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212716",
            "telephone_number": "970-484-9533",
            "fax_number": "970-484-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFESPAN FAMILY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2010-01-22",
        "status": "A",
        "authorized_official_last_name": "PASTORE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-484-9533",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "105668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68270348",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley Brooke Liebig, PHARM.D.
• Rayne Lieurance
• Life Cycle Counseling and Consulting, PLLC
• Lifescapes Counseling PLLC
• Lifespan Family Chiropractic, LLC
• Lifestyle Medicine at Miramont, LLC
• Remy Marie Liggio, LIC. AC., MAOM,
• Light Filled Life Occupational Therapy
• Light of the Rockies Christian Counseling Center
• Taylor Lighthart

• Primary Care Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; 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.