VALLEY ROOTS MEDICAL LLC
NPI 1083541767
Nurse Practitioner - Family in Westcliffe, CO
About Valley Roots Medical Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALLEY ROOTS MEDICAL LLC (NPI 1083541767) is a healthcare organization registered as a family in Westcliffe, Colorado and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through June 3, 2028 and lists Jennifer Becker, Owner/ Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 06D2345038
Valley Roots Medical LLC · Westcliffe, COFrequently 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 Valley Roots Medical LLC's NPI number?
The NPI number for Valley Roots Medical LLC is 1083541767. It was assigned to this organization in the NPPES registry on May 6, 2026.
Where is Valley Roots Medical LLC located?
Valley Roots Medical LLC is located at 590 Hermit Rd, Westcliffe, CO 81252. The listed phone number is (719) 204-5137.
What is Valley Roots Medical LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Valley Roots Medical LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2345038) is associated with this NPI, valid through June 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Valley Roots Medical LLC was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.
# Valley Roots Medical Llc · NPI 1083541767
Family organization in Westcliffe, Colorado. Organization record, active in the CMS NPPES registry since May 6, 2026.
## Identity
- **NPI:** 1083541767 (Entity type: Organization)
- **Enumerated:** May 6, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Jennifer Becker, OWNER/ AUTHORIZED OFFICIAL
## Practice location
- **Address:** 590 HERMIT RD, Westcliffe, CO 81252
- **Phone:** (719) 204-5137
## Record status
- **NPPES last updated:** July 23, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083541767) · Data from the CMS NPPES public registry.