NPIMap

Organization Active NPI

The Healing Collective LLC

  • Primary Care Clinic/Center
  • Niwot, CO
National Provider Identifier
1699174938
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
0990359 Issued in CO
Legal business name
THE HEALING COLLECTIVE LLC
Practice address
6800 N 79TH St Ste 202
Niwot, CO 80503-8979
Phone
(720) 572-5326
Fax
(720) 684-6913
NPI assigned
Aug 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Authorized official

Name
Tracy Leigh ShulsingerNPI 1083987648
Title
Owner
Phone
(720) 572-5236

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
Primary Care Clinic/Center 261QP2300X 0990359 CO Primary

Addresses

Primary practice location

6800 N 79TH St Ste 202
Niwot, CO 80503-8979

Mailing address

PO Box 21150
Boulder, CO 80308-4150
Phone (720) 273-3568

Other names 1

  • Holos Health Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1408579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1699174938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21150",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803084150",
            "telephone_number": "720-273-3568",
            "fax_number": "720-612-4271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N 79TH ST STE 202",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805038979",
            "telephone_number": "720-572-5326",
            "fax_number": "720-684-6913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING COLLECTIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-21",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "SHULSINGER",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "LEIGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-572-5236"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "0990359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holos Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Niwot, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.