NPIMap

Organization Active NPI

Holistic Pain Management of Colorado LLC

  • Pain Clinic/Center
  • Hugo, CO
National Provider Identifier
1659947034
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
HOLISTIC PAIN MANAGEMENT OF COLORADO LLC
Practice address
111 6TH St
Hugo, CO 80821-2002
Phone
(719) 743-2421
NPI assigned
May 27, 2021
Last updated
May 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Authorized official

Name
Amanda Bisby, NP
Title
Chief Clinical Officer
Phone
(307) 250-4953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

111 6TH St
Hugo, CO 80821-2002

Mailing address

3780 N Garfield Ave Ste 101
Loveland, CO 80538-2237
Phone (800) 928-6040

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622073600000",
    "number": "1659947034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3780 N GARFIELD AVE STE 101",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805382237",
            "telephone_number": "800-928-6040",
            "fax_number": "833-923-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 6TH ST",
            "city": "HUGO",
            "state": "CO",
            "postal_code": "808212002",
            "telephone_number": "719-743-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PAIN MANAGEMENT OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A",
        "authorized_official_last_name": "BISBY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "CHIEF CLINICAL OFFICER",
        "authorized_official_telephone_number": "307-250-4953",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hugo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.