Incarnate LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

3671 Issued in CO

Legal business name

INCARNATE LLC

Practice address

1901 Ames CT
Fort Collins, CO 80526-6109

Phone

(970) 204-1391

Fax

(970) 377-2757

NPI assigned

Jun 28, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Beth Schmidt, D.C.

Title

Doctor

Phone

(970) 204-1391

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1932410693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 AMES CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266109",
            "telephone_number": "970-204-1391",
            "fax_number": "970-377-2757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 AMES CT",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805266109",
            "telephone_number": "970-204-1391",
            "fax_number": "970-377-2757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INCARNATE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-28",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "970-204-1391",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CO",
            "license": "3671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Primary Care Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; 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.