NPIMap

Organization Active NPI

A New Leaf Therapy, LLC

  • Multi-Specialty Clinic/Center
  • Pueblo, CO
National Provider Identifier
1952006983
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
A NEW LEAF THERAPY, LLC
Practice address
117 E Pitkin Ave
Pueblo, CO 81004-2109
Phone
(719) 948-7120
NPI assigned
Mar 31, 2023
Last updated
Mar 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Regan YoungNPI 1871918037
Title
Ceo
Phone
(719) 288-3512

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

117 E Pitkin Ave
Pueblo, CO 81004-2109

Mailing address

117 E Pitkin Ave
Pueblo, CO 81004-2109
Phone (719) 948-7120

National Provider Directory

National Provider Directory
Tax ID family
A New Leaf Therapy LLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1952006983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 E PITKIN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042109",
            "telephone_number": "719-948-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 E PITKIN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810042109",
            "telephone_number": "719-948-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW LEAF THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "REGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-288-3512"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.