444 Wellness LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

444 WELLNESS LLC

Practice address

60 North Second St
Granby, CO 80446

Phone

(970) 557-4040

NPI assigned

Jul 1, 2022

Last updated

Aug 7, 2023By 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

Kathleen Hornbaker, CRNANPI 1366671331

Title

Owner

Phone

(970) 794-6444

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO, IA2 enrollments

Enrollment records 2

Practitioners 3

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.

• Kathleen M Hornbaker, CRNA

  • Certified Registered Nurse Anesthetist
  • Granby, CO
  • NPI 1366671331

  IA

  Medicare reassignment NPD Authorized official
• Kellie Logue, CRNA

  • Certified Registered Nurse Anesthetist
  • Kremmling, CO
  • NPI 1275940496
  Medicare reassignment NPD
• Robert Craig Ratcliff, M.D.

  • Surgery Physician
  • Kremmling, CO
  • NPI 1700872140
  Medicare reassignment NPD

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

{
    "created_epoch": "1656633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1619600285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "804460634",
            "telephone_number": "309-202-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 NORTH SECOND ST",
            "city": "GRANBY",
            "state": "CO",
            "postal_code": "80446",
            "telephone_number": "970-557-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "444 WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-01",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "HORNBAKER",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-794-6444",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mabon Acord, RN
• Linda Andersson-Riggs
• Andrew W Burns DDS PC (Granby Dental PC)
• Lisa Marie Ansell, ED. D.
• Aspen Wind Counseling, LLC

• Interventional Pain Medicine Physician in Granby, CO
• Providers in Granby, CO by specialty
• Interventional Pain Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.