COLORADO CENTER FOR LIFESTYLE MEDICINE
NPI 1558099119
Nurse Practitioner - Family in Salida, CO
About Colorado Center For Lifestyle Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLORADO CENTER FOR LIFESTYLE MEDICINE (NPI 1558099119) is a healthcare organization registered as a family in Salida, Colorado and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Bronwyn Radcliffe, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 06D2273824
Colorado Center For Lifestyle Medicine, The · Salida, COFrequently 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 Colorado Center For Lifestyle Medicine's NPI number?
The NPI number for Colorado Center For Lifestyle Medicine is 1558099119. It was assigned to this organization in the NPPES registry on August 11, 2022.
Where is Colorado Center For Lifestyle Medicine located?
Colorado Center For Lifestyle Medicine is located at 301 Oak St Unit A, Salida, CO 81201. The listed phone number is (719) 207-4083.
What is Colorado Center For Lifestyle Medicine's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Does Colorado Center For Lifestyle Medicine hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 06D2273824) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Colorado Center For Lifestyle Medicine was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Colorado Center For Lifestyle Medicine · NPI 1558099119
Family organization in Salida, Colorado. Organization record, active in the CMS NPPES registry since August 11, 2022.
## Identity
- **NPI:** 1558099119 (Entity type: Organization)
- **Enumerated:** August 11, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Bronwyn Radcliffe, OWNER
## Practice location
- **Address:** 301 OAK ST UNIT A, Salida, CO 81201-3340
- **Phone:** (719) 207-4083
## Record status
- **NPPES last updated:** August 11, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1558099119) · Data from the CMS NPPES public registry.