Fort Collins Youth Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

FORT COLLINS YOUTH CLINIC

Practice address

2500 Rocky Mountain Ave # 260
Loveland, CO 80538-9004

Phone

(970) 267-9510

Fax

(970) 207-9967

NPI assigned

Dec 22, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Fred

Title

Executive Assistant

Phone

(970) 267-9510

Specialties & licenses 1

Addresses

Tax ID family

Fort Collins Youth Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Fort Collins Youth Clinic

  • Pediatrics Physician
  • Timnath, CO
  • NPI 1043807209
  NPD tax ID
• Fort Collins Youth Clinic

  • Pediatrics Physician
  • Fort Collins, CO
  • NPI 1154918308
  NPD tax ID
• Fort Collins Youth Clinic

  • Pediatrics Physician
  • Fort Collins, CO
  • NPI 1336292622
  NPD tax ID

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

{
    "created_epoch": "1608595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1336736594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7328",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805370328",
            "telephone_number": "970-663-2742",
            "fax_number": "970-342-2093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE # 260",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-267-9510",
            "fax_number": "970-207-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT COLLINS YOUTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-22",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "FRED",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "EXECUTIVE ASSISTANT",
        "authorized_official_telephone_number": "970-267-9510"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foothills Orthopedic & Sport Therapy, PC
• Janet Ann Fordyce, CAC II
• Austin Wesley Forrest, DC
• Fort Collins Therapy Services LLC (ABG Therapy & Wellness Center)
• Fort Collins Women's Clinic, P.C. (The Women's Clinic of Northern Colorado)
• Bonnie Marie Fortier
• Tyler Michael Fosdick, PT
• Kimberly A Foster, OTR
• Foundations Counseling, LLC
• Foundations, Inc.

• Pediatrics Physician in Loveland, CO
• Providers in Loveland, CO by specialty
• Pediatrics Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.