The Healthcare Clinic of Fort Collins

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

184924 Issued in CO

Legal business name

THE HEALTHCARE CLINIC OF FORT COLLINS

Practice address

1721 W Harmony Road
Suite 102
Fort Collins, CO 80526-7611

Phone

(970) 223-1999

Fax

(970) 223-4419

NPI assigned

Aug 25, 2011

Last updated

Jun 28, 2021By 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

Lisa W Myers, APNP

Title

Owner

Phone

(970) 452-7404

Specialties & licenses 1

Addresses

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.

• Caitlin Connor Ansel, FNP

  • Family Nurse Practitioner
  • Newberg, OR
  • NPI 1588251532
  NPD (past)

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1912287640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24667 SLATER MILL RD",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365260199",
            "telephone_number": "970-452-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 W HARMONY ROAD",
            "address_2": "SUITE 102",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805267611",
            "telephone_number": "970-223-1999",
            "fax_number": "970-223-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALTHCARE CLINIC OF FORT COLLINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-452-7404",
        "authorized_official_credential": "APNP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "184924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Evangelical Lutheran Good Samaritan Society (Good Samaritan Society - Fort Collins Village (HCBS))
• The Family Center/la Familia
• The Family Clinic of Fort Collins
• The Glasses Guys LLC
• The Grounded Soul LLC
• The Hearing Place
• The Holistic Healing Center, LLC
• The House of Blue's LLC
• The Human Experience Counseling LLC
• The Inspirational Journey, LLC

• Point of Service in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Point of Service in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.