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SOUTHERN COLORADO NEPHROLOGY ASSOC PC
NPI 1083642144
Specialist in Pueblo, CO

Active since June 29, 2006CLIA 06D0517991 · Microscopy
3426 LAKE AVE, 120, PUEBLO, CO 81004(719) 561-5264(719) 561-5272 Get Directions Write a Review

NPPES record last updated: November 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Colorado Nephrology Assoc Pc NPPES

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

SOUTHERN COLORADO NEPHROLOGY ASSOC PC (NPI 1083642144) is a healthcare organization registered as a specialist in Pueblo, Colorado and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Juliette Giebel, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083642144
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSOUTHERN COLORADO NEPHROLOGY ASSOC PC
Location Address3426 LAKE AVE, 120Pueblo, CO 81004-3877
Mailing Address3426 Lake Ave, 120Pueblo, CO 81004-3877 · (719) 561-5264 · Fax (719) 561-5272
Phone(719) 561-5264
Fax(719) 561-5272
Organization SubpartNo
Authorized OfficialJuliette GiebelOffice Manager · (719) 561-5264
Enumeration DateJune 29, 2006
Last NPPES UpdateNovember 2, 2007
✔ NPI 1083642144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3426 LAKE AVE, Pueblo, CO 81004
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Other Identifiers 2

Medicare PINCA1108
Medicaid04006250CO

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) 06D0517991

Southern Colorado Nephrology Assoc PC · Pueblo, CO
Active · expires Aug 31, 2026
CLIA Number06D0517991
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorStanley C. Sicher
Laboratory Phone(719) 561-5264
Laboratory LocationSouthern Colorado Nephrology Assoc PC3426 Lake Ave #120, Pueblo, CO 81004
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 8

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

CHRISTINE B BAUGH NP
Nurse Practitioner
3426 LAKE AVE, SUITE 120
PUEBLO, CO 81004
Pueblo County (719) 561-5264
IRINA VANCEA MD
Internal Medicine (Nephrology)
3426 LAKE AVE, STE 120
PUEBLO, CO 81004
Pueblo County (719) 561-5264
DR. STANLEY CARLOS SICHER MD
Internal Medicine (Nephrology)
3426 LAKE AVE, 120
PUEBLO, CO 81004
Pueblo County (719) 561-5264
BONNIE DURAN NP
Nurse Practitioner
3426 LAKE AVE, 120
PUEBLO, CO 81004
Pueblo County (719) 561-5264
DR. SCOTT WILLIAM HARBERTS MD
Internal Medicine (Nephrology)
3426 LAKE AVE, 120
PUEBLO, CO 81004
Pueblo County (719) 561-5264
PAMELA ISLEY NP
Nurse Practitioner (Adult Health)
3426 LAKE AVE, #120
PUEBLO, CO 81004
Pueblo County (719) 561-5264
CHELSEY RAE CORTESE NP
Nurse Practitioner (Family)
3426 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 561-5264
DR. STEPHEN THEODORE BROWN MD
Internal Medicine (Nephrology)
3426 LAKE AVE, 120
PUEBLO, CO 81004
Pueblo County (719) 561-5264

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 Southern Colorado Nephrology Assoc PC's NPI number?

The NPI number for Southern Colorado Nephrology Assoc PC is 1083642144. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Southern Colorado Nephrology Assoc PC located?

Southern Colorado Nephrology Assoc PC is located at 3426 Lake Ave 120, Pueblo, CO 81004. The listed phone number is (719) 561-5264.

What is Southern Colorado Nephrology Assoc PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Southern Colorado Nephrology Assoc PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0517991) is associated with this NPI, valid through August 31, 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 Southern Colorado Nephrology Assoc PC was last updated on November 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.