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

NPI Status: Active since April 11, 2017

Contact Information

1910 LAKE AVE
PUEBLO, CO
ZIP 81004
Phone: (719) 582-1489
Fax: (719) 434-9807

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  • Organization
  • Nurse Practitioner
  • Family

About IDEAL FAMILY MEDICINE, LTD

This page provides the complete NPI Profile along with additional information for Ideal Family Medicine, Ltd, a provider established in Pueblo, Colorado operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1255865713 assigned on April 2017. The practitioner's primary taxonomy code is 363LF0000X with license number 0992962 (CO). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jade Bryant Fnp-bc (Owner)

NPI
1255865713
Provider Name
IDEAL FAMILY MEDICINE, LTD
Entity Type
Organization
Location Address
1910 LAKE AVE PUEBLO, CO 81004
Location Phone
(719) 582-1489
Location Fax
(719) 434-9807
Mailing Address
19 E ABARR DR # 200 PUEBLO, CO 81007
Mailing Phone
(719) 582-1489
Mailing Fax
(719) 434-9807
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-11-2017
Last Update Date
03-04-2024
Code Navigator

A nurse practitioner (NP) like Ideal Family Medicine, Ltd is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0992962
License State
CO

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JADE BRYANT FNP-BC

Authorized Official Title
OWNER
Authorized Official Phone
(719) 582-1489

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1154861995MEDICAID (05)CO 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255865713, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
6
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 8 → 16 → 7 5 → 10 → 1 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 6 + 6 + 1 + 0 + 7 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1255865713.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
1910 LAKE AVE
PUEBLO, CO 81004
Pediatrics
1910 LAKE AVE
PUEBLO, CO 81004
Pediatrics
1910 LAKE AVE
PUEBLO, CO 81004
Nurse Practitioner (Family)
1910 LAKE AVE
PUEBLO, CO 81004

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255865713, enumerated as an "organization" on April 11, 2017.

The provider is located at 1910 LAKE AVE PUEBLO, CO 81004 and the phone number is (719) 582-1489.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.