1. Home
  2. Directory
  3. Colorado
  4. Longmont
  5. Family Medicine
  6. NPI Profile

UCHEALTH PRIMARY CARE - KEN PRATT BLVD
NPI 1255918058
Family Medicine in Longmont, CO

Active since March 26, 2021
601 S MAIN ST, LONGMONT, CO 80501(720) 718-8410(720) 718-8999 Get Directions Write a Review

NPPES record last updated: July 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2024, Apr 29, 2021, Mar 26, 2021 (3 updates tracked since 2021).

About Uchealth Primary Care - Ken Pratt Blvd NPPES

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

UCHEALTH PRIMARY CARE - KEN PRATT BLVD (NPI 1255918058) is a healthcare organization registered as a family medicine in Longmont, Colorado and active in the NPI registry since March 2021. The organization lists Jana Conroy, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1255918058
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePOUDRE VALLEY MEDICAL GROUP, LLC
Location Address601 S MAIN STLongmont, CO 80501-6427
Mailing Address2695 Rocky Mountain Ave Ste 150Loveland, CO 80538-9071
Phone(720) 718-8410
Fax(720) 718-8999
Organization SubpartYes
Authorized OfficialJana ConroyDirector Of Credentialing · (720) 718-8410
Enumeration DateMarch 26, 2021
Last NPPES UpdateJuly 12, 20243 updates tracked since enumeration
NPPES CertifiedJuly 12, 2024
✔ NPI 1255918058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
601 S MAIN ST, Longmont, CO 80501
Open in Google Maps ↗

Other Names 1

Other NameUchealth Primary Care - Ken Pratt Blvd

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 4

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

TRICIA STAATZ FNP
Nurse Practitioner (Family)
601 S MAIN ST
LONGMONT, CO 80501
Boulder County (720) 718-8410
HIGHLANDS RANCH HEALTHCARE LLC
Clinic/Center (Urgent Care)
601 S MAIN ST
LONGMONT, CO 80501
Boulder County (303) 776-6104
DR. CHRISTOPHER JON KEENAN MD
Family Medicine
601 S MAIN ST
LONGMONT, CO 80501
Boulder County (720) 718-8410
DR. AMMIE E. CHRISTIANSEN D.O.
Family Medicine
601 S MAIN ST
LONGMONT, CO 80501
Boulder County (720) 718-8410

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 Poudre Valley Medical Group, LLC's NPI number?

The NPI number for Poudre Valley Medical Group, LLC is 1255918058. It was assigned to this organization in the NPPES registry on March 26, 2021. The provider is also known as Uchealth Primary Care - Ken Pratt Blvd.

Where is Poudre Valley Medical Group, LLC located?

Poudre Valley Medical Group, LLC is located at 601 S Main St, Longmont, CO 80501. The listed phone number is (720) 718-8410.

What is Poudre Valley Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Poudre Valley Medical Group, LLC was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.