1. Home
  2. Directory
  3. Colorado
  4. Fort Collins
  5. Clinic Center
  6. NPI Profile

LIFESTYLE MEDICINE AT MIRAMONT, LLC
NPI 1043513724
Clinic/Center - Primary Care in Fort Collins, CO

Active since December 17, 2010
2211 S COLLEGE AVE, UNIT 300, FORT COLLINS, CO 80525(970) 237-6339(970) 482-2091 Get Directions Write a Review

NPPES record last updated: March 25, 2011. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Lifestyle Medicine At Miramont, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFESTYLE MEDICINE AT MIRAMONT, LLC (NPI 1043513724) is a healthcare organization registered as a primary care in Fort Collins, Colorado and active in the NPI registry since December 2010. The organization lists Lisa Austin, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1043513724
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameLIFESTYLE MEDICINE AT MIRAMONT, LLC
Location Address2211 S COLLEGE AVE, UNIT 300Fort Collins, CO 80525-1489
Mailing Address2211 S College Ave, Unit 300Fort Collins, CO 80525-1489 · (970) 237-6339 · Fax (970) 482-2091
Phone(970) 237-6339
Fax(970) 482-2091
Organization SubpartYesParent: Urgent Care At Miramont, Llc
Authorized OfficialLisa AustinVice President Of Operations · (970) 237-6339
Enumeration DateDecember 17, 2010
Last NPPES UpdateMarch 25, 2011
✔ NPI 1043513724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2211 S COLLEGE AVE, Fort Collins, CO 80525
Open in Google Maps ↗

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA O'NEAL RN
Registered Nurse
2211 S COLLEGE AVE
FORT COLLINS, CO 80525
Larimer County (970) 237-6339
MIRAMONT CENTRAL INC.
Dietitian, Registered
2211 S COLLEGE AVE, SUITE 300
FORT COLLINS, CO 80525
Larimer County (970) 225-2233
MRS. ANNA ROSE TOWNE DPT
Physical Therapist
2211 S COLLEGE AVE, SUITE 300
FORT COLLINS, CO 80525
Larimer County (970) 663-6142
CHRISTIANA OTT MSPT
Physical Therapist
2211 S COLLEGE AVE, SUITE 300
FORT COLLINS, CO 80525
Larimer County (970) 663-6142
EMILY ANDERSON CLARK PHYSICAL THERPIST
Physical Therapist
2211 S COLLEGE AVE, SUITE 300
FORT COLLINS, CO 80525
Larimer County (970) 663-6142
REBECCA MARIE RAUCH PT, DPT
Physical Therapist
2211 S COLLEGE AVE, SUITE 300
FORT COLLINS, CO 80525
Larimer County (970) 663-6142
URGENT CARE AT MIRAMONT, LLC
Clinic/Center (Urgent Care)
2211 S COLLEGE AVE
FORT COLLINS, CO 80525
Larimer County (970) 237-6339
PVHS-ICM EMPLOYEE HEALTH AND WELLNESS, LLC
Clinic/Center
2211 S COLLEGE AVE, SUITE 300
FORT COLLINS, CO 80525
Larimer County (970) 237-6339

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifestyle Medicine At Miramont, LLC's NPI number?

The NPI number for Lifestyle Medicine At Miramont, LLC is 1043513724. It was assigned to this organization in the NPPES registry on December 17, 2010.

Where is Lifestyle Medicine At Miramont, LLC located?

Lifestyle Medicine At Miramont, LLC is located at 2211 S College Ave Unit 300, Fort Collins, CO 80525. The listed phone number is (970) 237-6339.

What is Lifestyle Medicine At Miramont, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Lifestyle Medicine At Miramont, LLC was last updated on March 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.