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IDEAL FAMILY MEDICINE, LTD
NPI 1255865713
Nurse Practitioner - Family in Pueblo, CO

Active since April 11, 2017
1910 LAKE AVE, PUEBLO, CO 81004(719) 582-1489(719) 434-9807 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 4, 2024, Apr 9, 2021, Apr 11, 2017 (3 updates tracked since 2017).

About Ideal Family Medicine, Ltd NPPES

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

IDEAL FAMILY MEDICINE, LTD (NPI 1255865713) is a healthcare organization registered as a family in Pueblo, Colorado and active in the NPI registry since April 2017. The organization lists Jade Bryant, Owner, as its authorized official.

NPPES Registry Identity

NPI1255865713
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameIDEAL FAMILY MEDICINE, LTD
Location Address1910 LAKE AVEPueblo, CO 81004-3322
Mailing Address19 E Abarr Dr # 200Pueblo, CO 81007-5436 · (719) 582-1489 · Fax (719) 434-9807
Phone(719) 582-1489
Fax(719) 434-9807
Organization SubpartNo
Authorized OfficialJade BryantOwner · (719) 582-1489
Enumeration DateApril 11, 2017
Last NPPES UpdateMarch 4, 20243 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1255865713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · 0992962
1910 LAKE AVE, Pueblo, CO 81004
Open in Google Maps ↗

Other Identifiers 1

Medicaid1154861995CO

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

Other Providers at the Same Location NPPES 4

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

JADE BRYANT FNP-BC
Nurse Practitioner (Family)
1910 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 582-1489
DR. SARAH ELIZABETH BRYANT M.D.
Pediatrics
1910 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 583-2330
ELIZABETH A EHRHARDT MD
Pediatrics
1910 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 583-2330
CATHLEEN HUGHES-LADD FNP-C
Nurse Practitioner (Family)
1910 LAKE AVE
PUEBLO, CO 81004
Pueblo County (719) 582-1489

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 Ideal Family Medicine, Ltd's NPI number?

The NPI number for Ideal Family Medicine, Ltd is 1255865713. It was assigned to this organization in the NPPES registry on April 11, 2017.

Where is Ideal Family Medicine, Ltd located?

Ideal Family Medicine, Ltd is located at 1910 Lake Ave, Pueblo, CO 81004. The listed phone number is (719) 582-1489.

What is Ideal Family Medicine, Ltd'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 Ideal Family Medicine, Ltd was last updated on March 4, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.