Individual provider Active NPI

Clarissa Rachele Alumbaugh, NP

  • Women's Health Nurse Practitioner
  • Castle Rock, CO
National Provider Identifier
1922334937
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
129798 Issued in CO
Practice address
1 Oakwood Park PLZ Ste 206
Castle Rock, CO 80104-1849
Phone
(720) 924-2548
Fax
(303) 814-1390
NPI assigned
Oct 26, 2009
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 129798 CO Primary

Addresses

Primary practice location

1 Oakwood Park PLZ Ste 206
Castle Rock, CO 80104-1849

Mailing address

1334 N Tabor Dr
Castle Rock, CO 80104-8996
Phone (303) 766-0197

Other identifiers 1

IdentifierTypeStateIssuer
84625562MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
129798COMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Integrative Wellness LLC Women's Health Current Accepting new patients
Colorado Integrative Healthcare LLC Women's Health Current Accepting new patients

Locations

1175 S Perry St
Ste 250
Castle Rock, CO 80104
Phone (303) 862-8061

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1922334937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 N TABOR DR",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801048996",
            "telephone_number": "303-766-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKWOOD PARK PLZ STE 206",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801041849",
            "telephone_number": "720-924-2548",
            "fax_number": "303-814-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALUMBAUGH",
        "first_name": "CLARISSA",
        "middle_name": "RACHELE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "129798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84625562",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.