Whole Family Health Care of Longmont

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

42439 Issued in CO

Legal business name

WHOLE FAMILY HEALTH CARE OF LONGMONT

Practice address

600 S Airport Rd
Building a, Suite G
Longmont, CO 80503-6424

Phone

(303) 776-0467

Fax

(303) 776-0467

NPI assigned

Sep 18, 2014

Last updated

Sep 18, 2014By 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

Dr. Kristin Van Konynenburg, M.D.NPI 1801878434

Title

Business Owner

Phone

(303) 776-0467

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Kristin Van Konynenburg, M.D.

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1801878434
  NPD (past) Authorized official

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410998400000",
    "number": "1932501202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 S HOVER ST STE E",
            "address_2": "PMB 189",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805017903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S AIRPORT RD",
            "address_2": "BUILDING A, SUITE G",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805036424",
            "telephone_number": "303-776-0467",
            "fax_number": "303-776-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE FAMILY HEALTH CARE OF LONGMONT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "VAN KONYNENBURG",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "303-776-0467",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CO",
            "license": "42439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Swander Audiology, Inc (Hearing HealthCare Centers)
• Whitney Swander Audiology, Inc (Hearing Healthcare Centers)
• Jacob Clark Whitsitt, M.D.
• Joella Whittaker
• Cathy Dawn Whittern, DDS
• Patricia Elizabeth Wick, SLP
• Ashley Wieczorek, L.AC.
• Kari Wiesen, PHARM.D.
• Julia Suzanne Wigert
• Jessica J Wiggins, LPC

• Health Service Clinic/Center in Longmont, CO
• Providers in Longmont, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.