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EVERSIDE HEALTH, LLC
NPI 1265030829
Family Medicine in Northglenn, CO

Active since October 15, 2020CLIA 06D2206301 · Microscopy
11990 GRANT ST STE 100, NORTHGLENN, CO 80233(866) 808-6005 Get Directions Write a Review

NPPES record last updated: July 28, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2022, Sep 13, 2021, Oct 15, 2020 (3 updates tracked since 2020).

About Everside Health, Llc NPPES

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

EVERSIDE HEALTH, LLC (NPI 1265030829) is a healthcare organization registered as a family medicine in Northglenn, Colorado and active in the NPI registry since October 2020. The organization holds a CLIA Microscopy certificate valid through May 16, 2028 and lists Jill Johnson Patton, Director Or Risk Management, as its authorized official.

NPPES Registry Identity

NPI1265030829
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEVERSIDE HEALTH, LLC
Location Address11990 GRANT ST STE 100Northglenn, CO 80233-5156
Mailing Address4651 Charlotte Park Dr Ste 300Charlotte, NC 28217-1916
Phone(866) 808-6005
Organization SubpartNo
Authorized OfficialJill Johnson PattonDirector Or Risk Management · (704) 936-5546
Enumeration DateOctober 15, 2020
Last NPPES UpdateJuly 28, 20223 updates tracked since enumeration
NPPES CertifiedJuly 28, 2022
✔ NPI 1265030829 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.
11990 GRANT ST STE 100, Northglenn, CO 80233
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 06D2206301

Everside Health Northglenn · Northglenn, CO
Active · expires May 16, 2028
CLIA Number06D2206301
Laboratory TypePhysician Office
Certificate Effective DateMay 17, 2026
Certificate Expiration DateMay 16, 2028
Laboratory DirectorDr. Eriko Suzuki
Laboratory Phone(303) 481-7784
Laboratory LocationEverside Health Northglenn11990 Grant St, Suite 100, Northglenn, CO 80233
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Everside Health, LLC's NPI number?

The NPI number for Everside Health, LLC is 1265030829. It was assigned to this organization in the NPPES registry on October 15, 2020.

Where is Everside Health, LLC located?

Everside Health, LLC is located at 11990 Grant St Ste 100, Northglenn, CO 80233. The listed phone number is (866) 808-6005.

What is Everside Health, LLC's specialty?

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

Does Everside Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D2206301) is associated with this NPI, valid through May 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Everside Health, LLC was last updated on July 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.