Organization Active NPI

Sublime Wellness, Inc

  • Multi-Specialty Clinic/Center
  • Colorado Springs, CO
National Provider Identifier
1982407060
Registry record updated Feb 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SUBLIME WELLNESS, INC
Practice address
5376 Tomah Dr Ste 130
Colorado Springs, CO 80918-7002
Phone
(530) 632-2511
Fax
(719) 888-1557
NPI assigned
Apr 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2026

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

Authorized official

Name
Tara Ebbs, PA-CNPI 1265792659
Title
PA-C/Owner
Phone
(719) 393-3001

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 8

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X
Acute Care Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SA2100X
Adult Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SA2200X
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X
Holistic Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SH1100X
Neuroscience Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SN0800X

Addresses

Primary practice location

5376 Tomah Dr Ste 130
Colorado Springs, CO 80918-7002

Mailing address

5376 Tomah Dr Ste 130
Colorado Springs, CO 80918-7002
Phone (719) 393-3001

Other names 1

  • Sublime Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250721000750 CO Part B Supplier - Clinic/Group Practice 4183130875 Receives reassigned benefits from 2 practitioners
Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

Locations

5376 Tomah Dr
Ste 130
Colorado Springs, CO 80918
Phone (530) 632-2511

6020 Erin Park Dr
Ste B7
Colorado Springs, CO 80918
Phone (719) 393-3001

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772236800000",
    "number": "1982407060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5376 TOMAH DR STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187002",
            "telephone_number": "719-393-3001",
            "fax_number": "719-888-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5376 TOMAH DR STE 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187002",
            "telephone_number": "530-632-2511",
            "fax_number": "719-888-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLIME WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2026-02-28",
        "certification_date": "2026-02-28",
        "status": "A",
        "authorized_official_last_name": "EBBS",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PA-C/OWNER",
        "authorized_official_telephone_number": "719-393-3001",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SH1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SN0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sublime Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.