NPIMap

Organization Active NPI

Ponderosa Natural Medicine LLC

  • Naturopath
  • Denver, CO
National Provider Identifier
1881065837
Registry record updated Oct 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
0000106 Issued in CO
Legal business name
PONDEROSA NATURAL MEDICINE LLC
Practice address
244 N Washington St
Denver, CO 80203-4264
Phone
(971) 227-2613
NPI assigned
Oct 16, 2015
Last updated
Oct 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2015

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

Authorized official

Name
Karrina Wallace, NDNPI 1083086532
Title
Owner
Phone
(971) 227-2613

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
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X 0000106 CO Primary

Addresses

Primary practice location

244 N Washington St
Denver, CO 80203-4264

Mailing address

PO Box 65
Idledale, CO 80453-0065
Phone (971) 227-2613

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444953600000",
    "number": "1881065837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "IDLEDALE",
            "state": "CO",
            "postal_code": "804530065",
            "telephone_number": "971-227-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 N WASHINGTON ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802034264",
            "telephone_number": "971-227-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA NATURAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-16",
        "last_updated": "2015-10-16",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "KARRINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-227-2613",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": "CO",
            "license": "0000106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; 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.