Little Poudre Family Clinic, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

LITTLE POUDRE FAMILY CLINIC, LLC

Practice address

3817 W County Road 54G
Laporte, CO 80535-9360

Phone

(970) 472-2001

Fax

(970) 212-9336

NPI assigned

Aug 20, 2010

Organization subpart

No

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

Authorized official

Name

Karen A McGraw, F.N.P.

Title

Family Nurse Practitioner

Phone

(970) 472-2001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Little Poudre Family Care Former legal business name

Practitioners 1

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

• Elyse L Diewald, FNP-C

  • Family Nurse Practitioner
  • Laporte, CO
  • NPI 1679200497
  NPD

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316649600000",
    "number": "1336455997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 W COUNTY ROAD 54G",
            "city": "LAPORTE",
            "state": "CO",
            "postal_code": "805359360",
            "telephone_number": "970-472-2001",
            "fax_number": "970-212-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 W COUNTY ROAD 54G",
            "city": "LAPORTE",
            "state": "CO",
            "postal_code": "805359360",
            "telephone_number": "970-472-2001",
            "fax_number": "970-212-9336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE POUDRE FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2011-09-22",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "970-472-2001",
        "authorized_official_credential": "F.N.P."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46455361",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Poudre Family Care",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Elyse L Diewald, FNP-C
• Will M Jones III
• Annette Lynn Landes, M.A., CCC-SLP
• Margaret Lennon, OTD, OTR/L
• Little Poudre Family Clinic LLC
• Karen A McGraw, F.N.P.
• Aaron Robert Oberndorf, MS, OTR/R
• Sarah Ruth Parsons, OTD, OTR
• Peak & Bounds Incorporated
• Sanitas Journey, LLC

• Primary Care Clinic/Center in Laporte, CO
• Providers in Laporte, 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 Sep 22, 2011; 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.