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CENTURA HEALTH PHYSICIAN GROUP TRI-LAKES PRIMARY CARE
NPI 1497157960
Family Medicine in Monument, CO

Active since September 16, 2014
17230 JACKSON CREEK PKWY, SUITE 300, MONUMENT, CO 80132(719) 571-7000(719) 571-7059 Get Directions Write a Review

NPPES record last updated: April 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centura Health Physician Group Tri-lakes Primary Care NPPES

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

CENTURA HEALTH PHYSICIAN GROUP TRI-LAKES PRIMARY CARE (NPI 1497157960) is a healthcare organization registered as a family medicine in Monument, Colorado and active in the NPI registry since September 2014. The organization lists Angela Skinner, Oma Administrator, as its authorized official.

NPPES Registry Identity

NPI1497157960
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCATHOLIC HEALTH INITIATIVES COLORADO
Location Address17230 JACKSON CREEK PKWY, SUITE 300Monument, CO 80132-7301
Mailing AddressPo Box 911057Denver, CO 80291-1057 · (303) 643-1099 · Fax (303) 643-1176
Phone(719) 571-7000
Fax(719) 571-7059
Organization SubpartNo
Authorized OfficialAngela SkinnerOma Administrator · (303) 673-7175
Enumeration DateSeptember 16, 2014
Last NPPES UpdateApril 20, 2016
✔ NPI 1497157960 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.
17230 JACKSON CREEK PKWY, Monument, CO 80132
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Other Names 1

Doing Business AsCentura Health Physician Group Tri-lakes Primary Care

Other Identifiers 2

Medicaid36258857CO
Medicare PINC804958CO

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 15

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

ALEXIS CHRYSE MICHOPOULOS D.O.
Family Medicine
17230 JACKSON CREEK PKWY, STE 300
MONUMENT, CO 80132
El Paso County (719) 571-7000
RAEKWON DOMANIC JOHNSON
Behavior Technician
17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
El Paso County (719) 488-3348
DR. DARA D LOWE MD
Family Medicine
17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
El Paso County (719) 571-7000
KRISTIN SCOTT M.D.
Family Medicine
17230 JACKSON CREEK PKWY, SUITE 300
MONUMENT, CO 80132
El Paso County (719) 571-7000
ASPEN PHILLIPS
Behavior Technician
17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
El Paso County (719) 597-0822
DESTINY NISTLER
Behavior Technician
17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
El Paso County (719) 428-1840
DR. BRIAN PAUL BAKER DO
Family Medicine
17230 JACKSON CREEK PKWY, #300
MONUMENT, CO 80132
El Paso County (719) 571-7000
AICHEL CAMPOS SUAREZ
Speech-Language Pathologist
17230 JACKSON CREEK PKWY
MONUMENT, CO 80132
El Paso County (719) 597-0822

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 Catholic Health Initiatives Colorado's NPI number?

The NPI number for Catholic Health Initiatives Colorado is 1497157960. It was assigned to this organization in the NPPES registry on September 16, 2014. The provider is doing business as Centura Health Physician Group Tri-Lakes Primary Care.

Where is Catholic Health Initiatives Colorado located?

Catholic Health Initiatives Colorado is located at 17230 Jackson Creek Pkwy Suite 300, Monument, CO 80132. The listed phone number is (719) 571-7000.

What is Catholic Health Initiatives Colorado'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 Catholic Health Initiatives Colorado was last updated on April 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.