NPIMap

Organization Active NPI

Foothills Vaccine Clinic LLC

  • Family Nurse Practitioner
  • Littleton, CO
National Provider Identifier
1356920573
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
FOOTHILLS VACCINE CLINIC LLC
Practice address
2679 W Main St Ste 300-220
Littleton, CO 80120-1950
Phone
(303) 720-9369
NPI assigned
Apr 5, 2021
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Darcy KoehnNPI 1376730259
Title
President
Phone
(303) 720-9369

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X Primary

Addresses

Primary practice location

2679 W Main St Ste 300-220
Littleton, CO 80120-1950

Mailing address

2679 W Main St
Littleton, CO 80120-1950
Phone (720) 669-3470

National Provider Directory

National Provider Directory

Locations

2679 W Main St
Ste 300220
Littleton, CO 80120
Phone (303) 720-9369

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1356920573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2679 W MAIN ST",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201950",
            "telephone_number": "720-669-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2679 W MAIN ST STE 300-220",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801201950",
            "telephone_number": "303-720-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS VACCINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-05",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "KOEHN",
        "authorized_official_first_name": "DARCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-720-9369"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.