Pure Infusion of Colorado LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PURE INFUSION OF COLORADO LLC

Practice address

1303 Fortino Blvd Ste C
Pueblo, CO 81008-2032

Phone

(888) 209-8874

NPI assigned

Mar 17, 2026

Organization subpart

No

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

Authorized official

Name

Rachel Fraga

Title

VP of Payer Development

Phone

(801) 590-9267

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 4

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

• Jessica Lynn Fox, APN

  • Nurse Practitioner
  • Englewood, CO
  • NPI 1073206934
  Medicare reassignment
• Laura Graham, FNP-C

  • Family Nurse Practitioner
  • Lakewood, CO
  • NPI 1912364597
  Medicare reassignment
• Tera Rose

  • Family Nurse Practitioner
  • Lone Tree, CO
  • NPI 1821457284
  Medicare reassignment
• Jonathan M Baugh, D.O.

  • Emergency Medicine Physician
  • St George, UT
  • NPI 1578882759

  CO

  Medicare reassignment

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1679421507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 W TOWNE RIDGE PKWY STE 500",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840705531",
            "telephone_number": "801-590-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 FORTINO BLVD STE C",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082032",
            "telephone_number": "888-209-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S McCaslin Blvd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "CO",
            "postal_code": "800279701",
            "country_code": "US",
            "telephone_number": "720-722-6330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 S Potomac St Ste 310",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800124539",
            "country_code": "US",
            "telephone_number": "303-268-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1550 S Potomac St Ste 145",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800125442",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 E Fontanero St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809077535",
            "country_code": "US",
            "telephone_number": "719-300-4068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6475 Wall St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809188341",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 E Harvard Ave Ste 480",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802107004",
            "country_code": "US",
            "telephone_number": "720-702-0444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 W Hampden Ave Ste 285",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801102165",
            "country_code": "US",
            "telephone_number": "888-209-8874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2478 Patterson Rd Ste 20",
            "address_purpose": "LOCATION",
            "city": "Grand Junction",
            "state": "CO",
            "postal_code": "815053606",
            "country_code": "US",
            "telephone_number": "970-822-7700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9980 Park Meadows Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Lone Tree",
            "state": "CO",
            "postal_code": "801248404",
            "country_code": "US",
            "telephone_number": "720-702-0400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PURE INFUSION OF COLORADO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "FRAGA",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "VP OF PAYER DEVELOPMENT",
        "authorized_official_telephone_number": "801-590-9267"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pueblo Womens Center, LLC
• Miranda Puente, BSW
• Kaitlyn Pullara
• Theodore Joseph Puls, M.D.
• Pura Vida Voices, LLP
• Ambar Alejandra Pylant
• Qualicenters Pueblo, LLC
• Quality Homes and Services, LLC
• Brittney Paige Quandt, NP
• Angel Quattlebaum

• Multi-Specialty Clinic/Center in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Multi-Specialty Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.