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SUPERIOR MEDICINE, PLLC
NPI 1396565644
Nurse Practitioner - Family in Superior, CO

Active since October 11, 2024CLIA 06D2326796 · Waiver
435 S SNOWMASS CIR, SUPERIOR, CO 80027(720) 290-8243 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Superior Medicine, Pllc NPPES

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

SUPERIOR MEDICINE, PLLC (NPI 1396565644) is a healthcare organization registered as a family in Superior, Colorado and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Lora Shima, Ceo & President, as its authorized official.

NPPES Registry Identity

NPI1396565644
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameSUPERIOR MEDICINE, PLLC
Location Address435 S SNOWMASS CIRSuperior, CO 80027-6119
Mailing Address435 S Snowmass CirSuperior, CO 80027-6119 · (720) 290-8243
Phone(720) 290-8243
Organization SubpartNo
Authorized OfficialLora ShimaCeo & President · (720) 290-8243
Enumeration DateOctober 11, 2024
NPPES CertifiedOctober 11, 2024
✔ NPI 1396565644 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
435 S SNOWMASS CIR, Superior, CO 80027
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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 of Waiver 06D2326796

Superior Medicine · Superior, CO
Active · expires Jul 9, 2027
CLIA Number06D2326796
Laboratory TypeConcierge Medical Service
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorLora L. Shima
Laboratory Phone(720) 290-8243
Laboratory LocationSuperior Medicine435 S Snowmass Circle, Superior, CO 80027
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

What is SUPERIOR MEDICINE, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1396565644, enumerated as an "organization" on October 11, 2024.

Where is the provider located?

The provider is located at 435 S SNOWMASS CIR SUPERIOR, CO 80027 and the phone number is (720) 290-8243.

What is the provider's specialty?

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