ACTIVE INTEGRATED MEDICINE LLC
NPI 1174016331
Integrative Medicine in Fort Morgan, CO

Q: What is Active Integrated Medicine LLC's NPI number?

The NPI number for Active Integrated Medicine LLC is 1174016331. It was assigned to this organization in the NPPES registry on June 12, 2018. The provider is doing business as Active Integrated Medicine and Proactive Medicine LLC.

Q: What is Active Integrated Medicine LLC's specialty?

The primary specialty registered for this NPI is Integrative Medicine with taxonomy code 202D00000X.

Active since June 12, 2018

220 E BEAVER AVE, FORT MORGAN, CO 80701(970) 441-1117 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Mar 4, 2025, Dec 12, 2018 and 1 more (4 updates tracked since 2018).

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About Active Integrated Medicine Llc NPPES

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

ACTIVE INTEGRATED MEDICINE LLC (NPI 1174016331), doing business as Active Integrated Medicine, is a healthcare organization registered as an integrative medicine in Fort Morgan, Colorado and active in the NPI registry since June 2018. The organization lists Leif Allen Stephens, Owner, as its authorized official.

NPPES Registry Identity

NPI1174016331

Entity TypeOrganization

Primary Taxonomy202D00000X

Legal Business NameACTIVE INTEGRATED MEDICINE LLC

Location Address220 E BEAVER AVEFort Morgan, CO 80701-3103

Mailing Address220 E Beaver AveFort Morgan, CO 80701-3103 · (970) 441-1117

Phone(970) 441-1117

Organization SubpartNo

Authorized OfficialLeif Allen StephensOwner · (970) 458-5216

Enumeration DateJune 12, 2018

Last NPPES UpdateMarch 30, 20264 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1174016331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyIntegrative MedicineAllopathic & Osteopathic Physicians

Taxonomy Code202D00000X

Definition

A physician who specializes in the treatment of the whole person through prevention and treatment based on medical evidence. Integrative medicine considers all factors that influence health, wellness, and disease – including mind, body, and spirit. Conventional and alternative methods are used to facilitate the body’s innate healing response. Appropriate consideration is given to use of less-invasive and less-harmful interventions, when possible. It also incorporates all appropriate therapeutic approaches, health care modalities, and disciplines to achieve optimal health and healing.

Also ListedGeneral PracticeTaxonomy 208D00000X

220 E BEAVER AVE, Fort Morgan, CO 80701

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Other Names 2

Doing Business AsActive Integrated Medicine

Doing Business AsProactive Medicine Llc

Other Identifiers 2

Medicaid1679771414CO

Other1679771414CO · Npi

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

Other Providers at the Same Location NPPES 10

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

DR. KENNETH KELLER M.D.

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