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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

INTEGRATIVE LIFE MD
NPI 1700708922
General Practice in Fort Collins, CO

Active since July 28, 2026
315 CANYON AVE STE 2A, FORT COLLINS, CO 80521(970) 598-5012 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrative Life Md NPPES

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

INTEGRATIVE LIFE MD (NPI 1700708922) is a healthcare organization registered as a general practice in Fort Collins, Colorado and active in the NPI registry since July 2026. The organization lists Shelley W Moore, Physician, as its authorized official.

NPPES Registry Identity

NPI1700708922
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATIVE LIFE MD
Location Address315 CANYON AVE STE 2AFort Collins, CO 80521-2686
Mailing Address814 W Mountain AveFort Collins, CO 80521-2508 · (512) 296-0319
Phone(970) 598-5012
Organization SubpartNo
Authorized OfficialShelley W MoorePhysician · (512) 296-0319
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1700708922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
315 CANYON AVE STE 2A, Fort Collins, CO 80521
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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

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 Integrative Life MD's NPI number?

The NPI number for Integrative Life MD is 1700708922. It was assigned to this organization in the NPPES registry on July 28, 2026.

Where is Integrative Life MD located?

Integrative Life MD is located at 315 Canyon Ave Ste 2A, Fort Collins, CO 80521. The listed phone number is (970) 598-5012.

What is Integrative Life MD's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Integrative Life MD was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.