Peak Vitality LLC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DR34457 Issued in CO

Legal business name

PEAK VITALITY LLC.

Practice address

1536 Cole Blvd Ste 335
Lakewood, CO 80401-3413

Phone

(720) 504-8007

Fax

(557) 590-7418

NPI assigned

Jul 12, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Danny L. Kellams II, L.AC.NPI 1205202272

Title

Owner

Phone

(720) 504-8007

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 2

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

• Danny Kellams II, L.A.C

  • Acupuncturist
  • Golden, CO
  • NPI 1205202272
  NPD Authorized official
• Terra Lee Heit, NP

  • Family Nurse Practitioner
  • Greenwood Village, CO
  • NPI 1285300723
  NPD (past)

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

{
    "created_epoch": "1499817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1356863120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1536 COLE BLVD STE 335",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013413",
            "telephone_number": "720-504-8007",
            "fax_number": "557-590-7418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 COLE BLVD STE 335",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013413",
            "telephone_number": "720-504-8007",
            "fax_number": "557-590-7418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEAK VITALITY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-12",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "KELLAMS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-504-8007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1639790",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0001814",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR34457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205202272",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Nicole Peacock, FNP
• Peak Integrated Health PC
• Peak Medical Inc.
• Peak Oral & Maxillofacial Surgery Center
• Peak to Peak Health Services LLC
• Doreen B Pearce, MD
• Jennifer Bavaria Pearson, LPC
• Leslie M Pearson, MD
• Darby Jane Pedersen, ND
• Pediatric Dental Group at Kids First

• Internal Medicine Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.