Organization Active NPI

Wellspring Group

  • Nurse Practitioner
  • Estes Park, CO
National Provider Identifier
1629774211
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WELLSPRING GROUP
Practice address
790 High St
Estes Park, CO 80517-7662
Phone
(970) 402-3882
NPI assigned
Feb 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Authorized official

Name
Deborah Cahill, FNP, CNMNPI 1578854188
Title
Arnp
Phone
(970) 402-3883

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
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

790 High St
Estes Park, CO 80517-7662

Mailing address

PO Box 157
Canyonville, OR 97417-0157
Phone (970) 402-3882

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1629774211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "CANYONVILLE",
            "state": "OR",
            "postal_code": "974170157",
            "telephone_number": "970-402-3882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 HIGH ST",
            "city": "ESTES PARK",
            "state": "CO",
            "postal_code": "805177662",
            "telephone_number": "970-402-3882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSPRING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A",
        "authorized_official_last_name": "CAHILL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "970-402-3883",
        "authorized_official_credential": "FNP, CNM"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estes Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.