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EVERSIDE HEALTH, LLC
NPI 1073111381
Family Medicine in Greeley, CO

Active since October 09, 2020CLIA 06D2196330 · Microscopy
3109 35TH AVE UNIT A102, GREELEY, CO 80634(303) 209-6371 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2022, Sep 21, 2021, Sep 13, 2021 and 1 more (4 updates tracked since 2020).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1073111381) is a healthcare organization registered as a family medicine in Greeley, Colorado and active in the NPI registry since October 2020. The organization holds a CLIA Microscopy certificate valid through October 14, 2026 and lists Jill Johnson Patton, Director Of Risk Management, as its authorized official.

NPPES Registry Identity

NPI1073111381
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address3109 35TH AVE UNIT A102Greeley, CO 80634-9479
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(303) 209-6371
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Of Risk Management · (704) 936-5546
Enumeration DateOctober 9, 2020
Last NPPES UpdateJuly 28, 20224 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1073111381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3109 35TH AVE UNIT A102, Greeley, CO 80634
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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 for Provider-Performed Microscopy Procedures (PPMP) 06D2196330

Everside Health Greeley 35th Avenue · Greeley, CO
Active · expires Oct 14, 2026
CLIA Number06D2196330
Laboratory TypeEmployee Health Center
Certificate Effective DateOctober 15, 2024
Certificate Expiration DateOctober 14, 2026
Laboratory DirectorDr. Ayme Bejarano
Laboratory Phone(303) 209-6371
Laboratory LocationEverside Health Greeley 35th Avenue3109 35th Ave, Suite A102, Greeley, CO 80634
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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.

MICHELLE RENSEL
Nurse Practitioner
3109 35TH AVE UNIT A102
GREELEY, CO 80634
Weld County (303) 209-6371
MS. REBECCA CHRISTINE FRONSEE FNP-C
Nurse Practitioner (Family)
3109 35TH AVE UNIT A102
GREELEY, CO 80634
Weld County (303) 209-6371

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1073111381. It was assigned to this organization in the NPPES registry on October 9, 2020.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 3109 35th Ave Unit A102, Greeley, CO 80634. The listed phone number is (303) 209-6371.

What is Everside Health, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2196330) is associated with this NPI, valid through October 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Everside Health, LLC was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.