Longmont Integrative Family Practice PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

50861 Issued in CO

Legal business name

LONGMONT INTEGRATIVE FAMILY PRACTICE PLLC

Practice address

2130 Mountain View Ave
Suite 203
Longmont, CO 80501-3177

Phone

(303) 776-8847

Fax

(303) 776-8897

NPI assigned

Apr 16, 2013

Last updated

Jul 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Glenda Weeman, DONPI 1164789715

Title

Physician Owner

Phone

(303) 776-8847

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 2

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.

• Glenda Cheryl Weeman, DO

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1164789715
  Medicare reassignment NPD Authorized official
• Kymbre Sands Governson, FNP-BC

  • Family Nurse Practitioner
  • Longmont, CO
  • NPI 1649670811
  Medicare reassignment NPD

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1700229143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 203",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013177",
            "telephone_number": "303-776-8847",
            "fax_number": "303-776-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 MOUNTAIN VIEW AVE",
            "address_2": "SUITE 203",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013177",
            "telephone_number": "303-776-8847",
            "fax_number": "303-776-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGMONT INTEGRATIVE FAMILY PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-16",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "WEEMAN",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "303-776-8847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "50861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Longmont Eyecare, PLLC
• Longmont Family Dental, PLLC
• Longmont Family Eye Doctors PLLC
• Longmont Foot and Ankle Clinic, P.C.
• Longmont Hospitalist Group, LLC
• Longmont Joint and Spine, LLC
• Longmont Medical Investors, LTD (Life Care Center of Longmont)
• Longmont Modern Dentistry and Orthodontics, LLP (Longmont Modern Dentistry and Orthodontics)
• Longmont Oral, Facial & Implant Surgery
• Longmont Orthopedics PC

• Family Medicine Physician in Longmont, CO
• Providers in Longmont, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.