Active NPI
Fort Collins Memory Care
- Alzheimer Center (Dementia Center)
- Fort Collins, CO
National Provider Identifier
1649064130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- Legal business name
- FORT COLLINS MEMORY CARE
- Practice address
- 3150 Rock Creek Dr
Fort Collins, CO 80528-3162 - Phone
- (970) 372-5838
- NPI assigned
- Apr 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kirstyn Wilson
- Title
- Executive Director
- Phone
- (970) 372-5838
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | Primary |
Addresses
Primary practice location
3150 Rock Creek Dr
Fort Collins, CO 80528-3162
Mailing address
3150 Rock Creek Dr
Fort Collins, CO 80528-3162
Phone (970) 372-5838
Other names 1
- Aspens at Fort Collins
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2318027 | Aspens at Fort Collins | Certificate of waiver | Feb 3, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1649064130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 ROCK CREEK DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283162",
"telephone_number": "970-372-5838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 ROCK CREEK DR",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805283162",
"telephone_number": "970-372-5838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT COLLINS MEMORY CARE",
"organizational_subpart": "NO",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "KIRSTYN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "970-372-5838"
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Aspens at Fort Collins",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Collins, CO
- Fort Collins Kids Dentistry
- Fort Collins Kids Orthodontics LLC
- Fort Collins Medi-Spa
- Fort Collins Medical Massage
- Fort Collins Medical Supplies, LLC
- Fort Collins Modern Dentistry, LLP
- Fort Collins Neurology PC
- Fort Collins Oral & Maxillofacial Surgery Partnership
- Fort Collins Orthopaedics PLLC
- Fort Collins Pain Treatment Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.