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LONGS PEAK FAMILY PRACTICE, PC
NPI 1477565380
Family Medicine in Longmont, CO

Active since August 12, 2006CLIA 06D0515817 · Microscopy
1309 SUNSET ST, LONGMONT, CO 80501(303) 772-5578(303) 772-8207 Get Directions Write a Review

NPPES record last updated: February 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Longs Peak Family Practice, Pc NPPES

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

LONGS PEAK FAMILY PRACTICE, PC (NPI 1477565380) is a healthcare organization registered as a family medicine in Longmont, Colorado and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through January 28, 2027 and lists Susan I Roach, Officer, as its authorized official.

NPPES Registry Identity

NPI1477565380
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLONGS PEAK FAMILY PRACTICE, PC
Location Address1309 SUNSET STLongmont, CO 80501-3215
Mailing Address1309 Sunset StLongmont, CO 80501-3215 · (303) 772-5578 · Fax (303) 772-8207
Phone(303) 772-5578
Fax(303) 772-8207
Organization SubpartNo
Authorized OfficialSusan I RoachOfficer · (303) 772-5578
Enumeration DateAugust 12, 2006
Last NPPES UpdateFebruary 8, 2008
✔ NPI 1477565380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X
1309 SUNSET ST, Longmont, CO 80501
Open in Google Maps ↗

Other Identifiers 1

Medicare PINCS2608

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 MULTIPLE 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) 06D0515817

Longs Peak Family Practice · Longmont, CO
Active · expires Jan 28, 2027
CLIA Number06D0515817
Laboratory TypePhysician Office
Certificate Effective DateJanuary 29, 2025
Certificate Expiration DateJanuary 28, 2027
Laboratory DirectorDr. Rebecca A. Myers
Laboratory Phone(303) 772-5578
Laboratory LocationLongs Peak Family Practice1309 Sunset St, Longmont, CO 80501
CLIA data matches this NPI record on: Address Name Phone
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.

Other Providers at the Same Location NPPES 11

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

HEALTHFUL LIVING LLC
Dietitian, Registered
1309 SUNSET ST
LONGMONT, CO 80501
Boulder County (720) 684-4147
ERIC TRAISTER M.D.
Family Medicine
1309 SUNSET ST
LONGMONT, CO 80501
Boulder County (303) 772-5578
SAMANTHA JO STEELMAN PAC
Physician Assistant (Medical)
1309 SUNSET ST
LONGMONT, CO 80501
Boulder County (303) 772-5578
MARY E FAINI MD
Family Medicine
1309 SUNSET ST
LONGMONT, CO 80501
Boulder County (303) 772-5578
DR. JAMES TIMOTHY KEELING M.D.
Family Medicine
1309 SUNSET ST
LONGMONT, CO 80501
Boulder County (303) 772-5578
REBECCA ANN MYERS M.D.
Family Medicine
1309 SUNSET ST
LONGMONT, CO 80501
Boulder County (303) 772-5578
SUSAN I ROACH MD
Family Medicine
1309 SUNSET ST
LONGMONT, CO 80501
Boulder County (303) 772-5578
ALLISON FOSTVEIT RN, BSN, BS, MSN-FNP
Nurse Practitioner
1309 SUNSET ST
LONGMONT, CO 80501
Boulder County (303) 772-5578

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 Longs Peak Family Practice, PC's NPI number?

The NPI number for Longs Peak Family Practice, PC is 1477565380. It was assigned to this organization in the NPPES registry on August 12, 2006.

Where is Longs Peak Family Practice, PC located?

Longs Peak Family Practice, PC is located at 1309 Sunset St, Longmont, CO 80501. The listed phone number is (303) 772-5578.

What is Longs Peak Family Practice, PC's specialty?

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

Does Longs Peak Family Practice, PC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 06D0515817) is associated with this NPI, valid through January 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Longs Peak Family Practice, PC was last updated on February 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.