RIVERS EDGE PAIN SPECIALISTS PLLC
NPI 1699423921
Nurse Practitioner - Family in Grand Junction, CO

Active since March 15, 2022CLIA 06D2274107 · Waiver
2249 BROADWAY STE 8, GRAND JUNCTION, CO 81507(970) 314-7094(970) 314-7094 Get Directions Write a Review

NPPES record last updated: July 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 18, 2022, Jun 6, 2022 (2 updates tracked since 2022).

About Rivers Edge Pain Specialists Pllc NPPES

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

RIVERS EDGE PAIN SPECIALISTS PLLC (NPI 1699423921) is a healthcare organization registered as a family in Grand Junction, Colorado and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Heather Janae Smith, Medical Director/nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1699423921
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameRIVERS EDGE PAIN SPECIALISTS PLLC
Location Address2249 BROADWAY STE 8Grand Junction, CO 81507-1157
Mailing Address2033 BroadwayGrand Junction, CO 81507-9710 · (970) 314-7094 · Fax (970) 314-7094
Fax(970) 314-7094
Organization SubpartNo
Authorized OfficialHeather Janae SmithMedical Director/nurse Practitioner · (970) 778-6323
Enumeration DateMarch 15, 2022
Last NPPES UpdateJuly 18, 20222 updates tracked since enumeration
NPPES CertifiedJuly 18, 2022
NPI 1699423921 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
2249 BROADWAY STE 8, Grand Junction, CO 81507

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 06D2274107

River's Edge Pain Specialists, PLLC · Grand Junction, CO
Active · expires Dec 26, 2026
CLIA Number06D2274107
Laboratory TypePractitioner Other
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorHeather J. Smith
Laboratory Phone(970) 314-7094
Laboratory LocationRiver's Edge Pain Specialists, PLLC2249 Broadway Suite 8, Grand Junction, CO 81507
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Nurse Practitioner
2249 BROADWAY STE 8
GRAND JUNCTION, CO 81507

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 Rivers Edge Pain Specialists PLLC's NPI number?

The NPI number for Rivers Edge Pain Specialists PLLC is 1699423921. It was assigned to this organization in the NPPES registry on March 15, 2022.

Where is Rivers Edge Pain Specialists PLLC located?

Rivers Edge Pain Specialists PLLC is located at 2249 Broadway Ste 8, Grand Junction, CO 81507. The listed phone number is (970) 314-7094.

What is Rivers Edge Pain Specialists PLLC's specialty?

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

Does Rivers Edge Pain Specialists PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2274107) is associated with this NPI, valid through December 26, 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 Rivers Edge Pain Specialists PLLC was last updated on July 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.