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FORT COLLINS YOUTH CLINIC
NPI 1043807209
Pediatrics in Timnath, CO

Active since December 22, 2020CLIA 06D0516070 · Waiver
4845 WEITZEL ST, TIMNATH, CO 80547(970) 267-9510(970) 207-9967 Get Directions Write a Review

NPPES record last updated: December 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fort Collins Youth Clinic NPPES

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

FORT COLLINS YOUTH CLINIC (NPI 1043807209) is a healthcare organization registered as a pediatrics in Timnath, Colorado and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through April 30, 2027 and lists Stephanie Fred, Executive Assistant, as its authorized official.

NPPES Registry Identity

NPI1043807209
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameFORT COLLINS YOUTH CLINIC
Location Address4845 WEITZEL STTimnath, CO 80547-4800
Mailing AddressPo Box 7328Loveland, CO 80537-0328 · (970) 663-2742 · Fax (970) 342-2093
Phone(970) 267-9510
Fax(970) 207-9967
Organization SubpartNo
Authorized OfficialStephanie FredExecutive Assistant · (970) 267-9510
Enumeration DateDecember 22, 2020
NPPES CertifiedDecember 22, 2020
✔ NPI 1043807209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4845 WEITZEL ST, Timnath, CO 80547
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D0516070

Fort Collins Youth Clinic · Fort Collins, CO
Active · expires Apr 30, 2027
CLIA Number06D0516070
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2025
Certificate Expiration DateApril 30, 2027
Laboratory DirectorDr. Kirsten M. Sampera
Laboratory Phone(970) 267-9510
Laboratory LocationFort Collins Youth Clinic1214 Oak Park Drive, Fort Collins, CO 80525
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

PEDIATRIC URGENT CARE OF NORTHERN COLORADO
Pediatrics
4845 WEITZEL ST
TIMNATH, CO 80547
Larimer County (702) 679-5109
MADISON NICOLE RICH PA-C
Physician Assistant (Medical)
4845 WEITZEL ST
TIMNATH, CO 80547
Larimer County (970) 267-9510

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 Fort Collins Youth Clinic's NPI number?

The NPI number for Fort Collins Youth Clinic is 1043807209. It was assigned to this organization in the NPPES registry on December 22, 2020.

Where is Fort Collins Youth Clinic located?

Fort Collins Youth Clinic is located at 4845 Weitzel St, Timnath, CO 80547. The listed phone number is (970) 267-9510.

What is Fort Collins Youth Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Fort Collins Youth Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D0516070) is associated with this NPI, valid through April 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Collins Youth Clinic was last updated on December 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.