The Little Clinic of Colorado, LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

THE LITTLE CLINIC OF COLORADO, LLC

Practice address

9551 S University Blvd
Highlands Ranch, CO 80126

Phone

(303) 459-5639

Fax

(303) 459-5640

NPI assigned

Sep 12, 2007

Last updated

Oct 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Shelly

Title

VP & General Manager

Phone

(615) 425-4200

Specialties & licenses 2

Addresses

Other identifiers 20

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Kroger Co

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Macon, GA
  • NPI 1639194319

  Member Of

  NPD member

Locations

Practitioners 209

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.

• Danait Abraha

  • Family Nurse Practitioner
  • Greenwood Village, CO
  • NPI 1093443558
  Medicare reassignment Care Compare group NPD
• Mubassara Ahmad, FNP

  • Family Nurse Practitioner
  • Aurora, CO
  • NPI 1124643143

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Nicole T Balinski

  • Family Nurse Practitioner
  • Lakewood, CO
  • NPI 1821899360
  Medicare reassignment Care Compare group NPD
• Christine Diane Boughner, FNP-C

  • Family Nurse Practitioner
  • Denver, CO
  • NPI 1851834915
  Medicare reassignment Care Compare group NPD
• Nathan Thomas Bucci, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Broomfield, CO
  • NPI 1245800481

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Carrie Delany Busch, FNP

  • Family Nurse Practitioner
  • Highlands Ranch, CO
  • NPI 1780448688
  Medicare reassignment Care Compare group NPD
• Adrienne Caroline Byrne, NP

  • Family Nurse Practitioner
  • Castle Rock, CO
  • NPI 1790457984
  Medicare reassignment Care Compare group NPD
• Alexis Decker, FNP

  • Family Nurse Practitioner
  • Colorado Springs, CO
  • NPI 1699472381
  Medicare reassignment Care Compare group NPD
• Rebecca Denoncour, FNP-BC

  • Family Nurse Practitioner
  • Lakewood, CO
  • NPI 1770267783
  Medicare reassignment Care Compare group NPD
• Meghan Derouin, FNP-C

  • Family Nurse Practitioner
  • Erie, CO
  • NPI 1245125343
  Medicare reassignment Care Compare group NPD
• Elizabeth Tatiana Dewoskin

  • Family Nurse Practitioner
  • Lakewood, CO
  • NPI 1912777202
  Medicare reassignment Care Compare group NPD
• Chandelle Joy Dinger

  • Family Nurse Practitioner
  • Bennett, CO
  • NPI 1578320123
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1538354568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028",
            "telephone_number": "615-425-4200",
            "fax_number": "615-891-5244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9551 S UNIVERSITY BLVD",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "80126",
            "telephone_number": "303-459-5639",
            "fax_number": "303-459-5640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7984 W Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802263025",
            "country_code": "US",
            "telephone_number": "303-459-7105",
            "fax_number": "303-459-7106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2355 W 136th Ave",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800239331",
            "country_code": "US",
            "telephone_number": "303-658-9827",
            "fax_number": "303-658-9828",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19711 E Smoky Hill Rd",
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            "city": "Centennial",
            "state": "CO",
            "postal_code": "800155194",
            "country_code": "US",
            "telephone_number": "303-459-5634",
            "fax_number": "303-459-5635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1750 W Uintah St",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809042926",
            "country_code": "US",
            "telephone_number": "719-325-0344",
            "fax_number": "719-325-0346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1070 W Baptist Rd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809212402",
            "country_code": "US",
            "telephone_number": "719-487-6050",
            "fax_number": "719-487-6051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11747 W Ken Caryl Ave",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801273700",
            "country_code": "US",
            "telephone_number": "720-981-2069",
            "fax_number": "720-981-2070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12167 Sheridan Blvd",
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            "state": "CO",
            "postal_code": "800202417",
            "country_code": "US",
            "telephone_number": "303-658-9807",
            "fax_number": "303-658-9808",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12959 S Parker Rd",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801343447",
            "country_code": "US",
            "telephone_number": "720-842-4089",
            "fax_number": "720-842-4090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 35th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806343910",
            "country_code": "US",
            "telephone_number": "970-475-0056",
            "fax_number": "970-475-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2810 Quebec St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802072900",
            "country_code": "US",
            "telephone_number": "303-370-5870",
            "fax_number": "303-370-5875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1891 State Highway 7",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805168003",
            "country_code": "US",
            "telephone_number": "303-729-4180",
            "fax_number": "303-729-4181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Youngfield St",
            "address_purpose": "LOCATION",
            "city": "Wheat Ridge",
            "state": "CO",
            "postal_code": "800335245",
            "country_code": "US",
            "telephone_number": "303-459-5645",
            "fax_number": "303-459-5646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3620 Austin Bluffs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809186631",
            "country_code": "US",
            "telephone_number": "719-325-0342",
            "fax_number": "719-325-0343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5544 Promenade Pkwy",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801081903",
            "country_code": "US",
            "telephone_number": "303-562-9157",
            "fax_number": "303-562-9161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 S Holly St",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801114251",
            "country_code": "US",
            "telephone_number": "720-200-6920",
            "fax_number": "720-200-6925",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 S Sheridan Blvd",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802275541",
            "country_code": "US",
            "telephone_number": "303-742-3179",
            "fax_number": "303-742-3180",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13700 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "806027024",
            "country_code": "US",
            "telephone_number": "303-451-4250",
            "fax_number": "303-451-4255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17761 Cottonwood Dr",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801343925",
            "country_code": "US",
            "telephone_number": "303-334-9576",
            "fax_number": "303-334-9577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1842 N College Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805241323",
            "country_code": "US",
            "telephone_number": "970-494-6975",
            "fax_number": "970-494-6976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE LITTLE CLINIC OF COLORADO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "SHELLY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP & GENERAL MANAGER",
        "authorized_official_telephone_number": "615-425-4200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
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            "code": "05",
            "desc": "MEDICAID",
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            "state": "CO"
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            "code": "05",
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            "code": "05",
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            "state": "CO"
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            "code": "05",
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            "state": "CO"
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            "state": "CO"
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            "code": "05",
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            "identifier": "9000165039",
            "state": "CO"
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            "code": "05",
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            "identifier": "9000165227",
            "state": "CO"
        },
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            "code": "05",
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            "identifier": "9000165406",
            "state": "CO"
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            "code": "05",
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            "state": "CO"
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            "desc": "MEDICAID",
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            "state": "CO"
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            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000165173",
            "state": "CO"
        },
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000165165",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anne Christine Tellez, MS, OTR
• Erin Terry, MS, OTR/L
• Jennifer Webers Tetrault, PA-C
• Beverly Ellen Tew, MD
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• Charles Norman Theobald, DDS
• Jessica A Theoharatos, RN
• Thomas C White MD PC

• Family Nurse Practitioner in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.