Integrative Life MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTEGRATIVE LIFE MD

Practice address

315 Canyon Ave Ste 2a
Fort Collins, CO 80521-2686

Phone

(970) 598-5012

NPI assigned

Jul 28, 2026

Last updated

Oct 8, 2026By 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. Shelley W Moore, MD

Title

Physician

Phone

(970) 598-5012

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791417600000",
    "number": "1700708922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CANYON AVE STE 2A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212686",
            "telephone_number": "970-598-5012",
            "fax_number": "800-595-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 CANYON AVE STE 2A",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805212686",
            "telephone_number": "970-598-5012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE LIFE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-10-08",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "970-598-5012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Acupuncture Clinic
• Integrative Balance Psychotherapy
• Integrative Balance Psychotherapy
• Integrative Center for Health
• Integrative Health Consulting
• Integrative Physiotherapy LLC
• Integrative Psychiatric Services
• Integrative Sports Medicine LLC
• Integrative Therapies of Co LLC
• Intent Revival

• General Practice Physician in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• General Practice Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2026; 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.