Organization Active NPI

Thompson River Pediatrics and Urgent Care, LLC

  • Pediatrics Physician
  • Johnstown, CO
National Provider Identifier
1497155089
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0054205 Issued in CO
Legal business name
THOMPSON RIVER PEDIATRICS AND URGENT CARE, LLC
Practice address
4435 Ronald Reagan Blvd.
Johnstown, CO 80534-6409
Phone
(970) 619-8139
Fax
(970) 612-8013
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Amber Griffin
Title
Ceo/Co-Owner
Phone
(970) 619-8139

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 0054205 CO Primary

Addresses

Primary practice location

4435 Ronald Reagan Blvd.
Johnstown, CO 80534-6409

Mailing address

4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566
Phone (970) 619-8139

Other identifiers 1

IdentifierTypeStateIssuer
76000265MedicaidCO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2084305Thompson River Pediatrics and Urgent Care4435 Ronald Reagan Blvd, Johnstown, CO 80534Certificate of waiverSep 21, 2026

National Provider Directory

National Provider Directory

Locations

4880 Thompson Pkwy
Unit 116
Johnstown, CO 80534
Phone (970) 619-8139

4435 Ronald Reagan Blvd
Ste 116
Johnstown, CO 80534

Practitioners & affiliated clinicians

Practitioners 15

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 15

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1497155089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 RONALD REAGAN BLVD",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805346566",
            "telephone_number": "970-619-8139",
            "fax_number": "970-612-8013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 RONALD REAGAN BLVD.",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805346409",
            "telephone_number": "970-619-8139",
            "fax_number": "970-612-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMPSON RIVER PEDIATRICS AND URGENT CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CEO/CO-OWNER",
        "authorized_official_telephone_number": "970-619-8139"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "0054205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "76000265",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.