OLD COLORADO CITY WELLNESS PLLC
NPI 1154971661
Nurse Practitioner - Family in Colorado Springs, CO

Q: What is Old Colorado City Wellness PLLC's NPI number?

The NPI number for Old Colorado City Wellness PLLC is 1154971661. It was assigned to this organization in the NPPES registry on September 17, 2019.

Q: What is Old Colorado City Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since September 17, 2019

2020 W COLORADO AVE # 303, COLORADO SPRINGS, CO 80904(719) 473-2368(719) 473-4581 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 29, 2020, Apr 2, 2020, Sep 17, 2019 (3 updates tracked since 2019).

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About Old Colorado City Wellness Pllc NPPES

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

OLD COLORADO CITY WELLNESS PLLC (NPI 1154971661) is a healthcare organization registered as a family in Colorado Springs, Colorado and active in the NPI registry since September 2019. The organization lists Jill Elene Smothers, Owner/managing Member, as its authorized official.

NPPES Registry Identity

NPI1154971661

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameOLD COLORADO CITY WELLNESS PLLC

Location Address2020 W COLORADO AVE # 303Colorado Springs, CO 80904-3882

Mailing Address2020 W Colorado Ave # 303Colorado Springs, CO 80904-3882 · (719) 473-2368 · Fax (719) 473-4581

Phone(719) 473-2368

Fax(719) 473-4581

Organization SubpartNo

Authorized OfficialJill Elene SmothersOwner/managing Member · (719) 473-2368

Enumeration DateSeptember 17, 2019

Last NPPES UpdateSeptember 29, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2020

✔ NPI 1154971661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedAllergy & ImmunologyTaxonomy 207K00000X

2020 W COLORADO AVE # 303, Colorado Springs, CO 80904

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Old Colorado City Wellness PLLC's NPI number?

The NPI number for Old Colorado City Wellness PLLC is 1154971661. It was assigned to this organization in the NPPES registry on September 17, 2019.

Where is Old Colorado City Wellness PLLC located?

Old Colorado City Wellness PLLC is located at 2020 W Colorado Ave # 303, Colorado Springs, CO 80904. The listed phone number is (719) 473-2368.

What is Old Colorado City Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Old Colorado City Wellness PLLC was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.