Active NPI
Elevated Precision Medicine & Biologics LLC
Doing business as Elevated Medicine
- Integrative Medicine Physician
- Durango, CO
National Provider Identifier
1932975067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Integrative Medicine Physician
- Legal business name
- ELEVATED PRECISION MEDICINE & BIOLOGICS LLC
- Doing business as
- Elevated Medicine
- Practice address
- 3750 Main Ave Ste 2
Durango, CO 81301-4020 - Phone
- (970) 749-4443
- NPI assigned
- Nov 29, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ekaterina Woodard, RN
- Title
- Part Owner
- Phone
- (970) 749-4443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Integrative Medicine Physician | 202D00000X | Primary |
Addresses
Primary practice location
3750 Main Ave Ste 2
Durango, CO 81301-4020
Mailing address
3750 Main Ave Ste 2
Durango, CO 81301-4020
Other names 1
- Elevated Medicine
National Provider Directory
National Provider DirectoryLocations
3750 Main Ave
Ste 2
Durango, CO 81301
Phone (970) 749-4443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701216000000",
"number": "1932975067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 MAIN AVE STE 2",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 MAIN AVE STE 2",
"city": "DURANGO",
"state": "CO",
"postal_code": "813014020",
"telephone_number": "970-749-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEVATED PRECISION MEDICINE & BIOLOGICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-29",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A",
"authorized_official_last_name": "WOODARD",
"authorized_official_first_name": "EKATERINA",
"authorized_official_title_or_position": "PART OWNER",
"authorized_official_telephone_number": "970-749-4443",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "202D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Integrative Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Elevated Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.