NPIMap

Organization Active NPI

Little Poudre Family Clinic LLC

Doing business as Little Poudre Family Medical

  • Primary Care Clinic/Center
  • Laporte, CO
National Provider Identifier
1578160396
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LITTLE POUDRE FAMILY CLINIC LLC
Doing business as
Little Poudre Family Medical
Practice address
3817 W County Rd 54G
Laporte, CO 80535
Phone
(970) 472-2001
Fax
(970) 295-4119
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Karen A McGraw, FNPNPI 1255574398
Title
Owner
Phone
(970) 472-2001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3817 W County Rd 54G
Laporte, CO 80535

Mailing address

3817 W County Rd 54G
Laporte, CO 80535
Phone (970) 472-2001

Other identifiers 1

IdentifierTypeStateIssuer
46455361MedicaidCO

Other names 1

  • Little Poudre Family Medical Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1578160396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 W COUNTY RD 54G",
            "city": "LAPORTE",
            "state": "CO",
            "postal_code": "80535",
            "telephone_number": "970-472-2001",
            "fax_number": "970-295-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 W COUNTY RD 54G",
            "city": "LAPORTE",
            "state": "CO",
            "postal_code": "80535",
            "telephone_number": "970-472-2001",
            "fax_number": "970-295-4119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE POUDRE FAMILY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "MCGRAW",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-472-2001",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46455361",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Poudre Family Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laporte, CO

Sources for this page

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