Vira Tested LLC

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

Legal business name

VIRA TESTED LLC

Practice address

8801 Spring Creek TRL
Niwot, CO 80503-7696

Phone

(720) 746-8950

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Stephanie Kelemen

Title

Chief Operating Officer

Phone

(720) 746-8950

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1831714542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 SPRING CREEK TRL",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805037696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 SPRING CREEK TRL",
            "city": "NIWOT",
            "state": "CO",
            "postal_code": "805037696",
            "telephone_number": "720-746-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRA TESTED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "KELEMEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "720-746-8950"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Staisiunas, RPH
• Savannah Ashley Stich, PMHNP
• The Healing Collective LLC
• Laura Thomas, DMD
• Jordan Thome, CCC-SLP-L
• Katherine Lynn Walker, M.D.
• Maja Watne, LAT, ATC
• Rachel Prairie Wiebeck, LMT
• Kristin Lee Wingfield, FNP
• Michelle C Winston, PSY.D.

• Student Health Clinic/Center in Niwot, CO
• Providers in Niwot, CO by specialty
• Student Health Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; 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.