EATON HEALTH CLINIC
NPI 1538845557
Nurse Practitioner - Family in Eaton, CO

Active since June 26, 2023CLIA 06D2288380 · Waiver
271 S ELM AVE, EATON, CO 80615(970) 438-4000(833) 841-0412 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2024, Aug 31, 2023 (2 updates tracked since 2023).

About Eaton Health Clinic NPPES

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

EATON HEALTH CLINIC (NPI 1538845557) is a healthcare organization registered as a family in Eaton, Colorado and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through August 23, 2027 and lists Shannon M Nisley, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1538845557
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEATON HEALTH CLINIC
Location Address271 S ELM AVEEaton, CO 80615-8264
Mailing Address271 S Elm AveEaton, CO 80615-8264 · (970) 438-4000 · Fax (833) 841-0412
Fax(833) 841-0412
Organization SubpartNo
Authorized OfficialShannon M NisleyOwner/provider · (970) 438-4000
Enumeration DateJune 26, 2023
Last NPPES UpdateApril 9, 20242 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
NPI 1538845557 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
271 S ELM AVE, Eaton, CO 80615

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 06D2288380

Eaton Health Clinic · Eaton, CO
Active · expires Aug 23, 2027
CLIA Number06D2288380
Laboratory TypePhysician Office
Certificate Effective DateAugust 24, 2025
Certificate Expiration DateAugust 23, 2027
Laboratory DirectorShannon M. Nisley
Laboratory Phone(970) 412-3580
Laboratory LocationEaton Health Clinic271 South Elm Ave, Eaton, CO 80615
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
271 S ELM AVE
EATON, CO 80615
Nurse Practitioner (Family)
271 S ELM AVE
EATON, CO 80615

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 Eaton Health Clinic's NPI number?

The NPI number for Eaton Health Clinic is 1538845557. It was assigned to this organization in the NPPES registry on June 26, 2023.

Where is Eaton Health Clinic located?

Eaton Health Clinic is located at 271 S Elm Ave, Eaton, CO 80615. The listed phone number is (970) 438-4000.

What is Eaton Health Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Eaton Health Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2288380) is associated with this NPI, valid through August 23, 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 Eaton Health Clinic was last updated on April 9, 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.