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ROCKY MOUNTAIN PRIMARY CARE CLINIC
NPI 1720385016
Nurse Practitioner - Family in Pueblo, CO

Active since February 22, 2011CLIA 06D2025909 · Waiver
131 S MAIN ST, SUITE 101, PUEBLO, CO 81003(719) 924-9398(719) 924-9593 Get Directions Write a Review

NPPES record last updated: March 8, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Rocky Mountain Primary Care Clinic NPPES

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

ROCKY MOUNTAIN PRIMARY CARE CLINIC (NPI 1720385016) is a healthcare organization registered as a family in Pueblo, Colorado and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Ashley N. Kirby, Nurse Practitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1720385016
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameROCKY MOUNTAIN PRIMARY CARE CLINIC
Location Address131 S MAIN ST, SUITE 101Pueblo, CO 81003-3415
Mailing Address131 S Main St, Suite 101Pueblo, CO 81003-3415 · (719) 924-9398 · Fax (719) 924-9593
Phone(719) 924-9398
Fax(719) 924-9593
Organization SubpartNo
Authorized OfficialAshley N. KirbyNurse Practitioner/owner · (719) 924-9398
Enumeration DateFebruary 22, 2011
Last NPPES UpdateMarch 8, 2017
✔ NPI 1720385016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CO · 65214
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
131 S MAIN ST, Pueblo, CO 81003
Open in Google Maps ↗

Other Identifiers 1

Medicaid45256781CO

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 MULTIPLE 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 06D2025909

Rocky Mountain Primary Care Clinic · Pueblo, CO
Active · expires Jun 20, 2027
CLIA Number06D2025909
Laboratory TypePractitioner Other
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorJill M. Olvey
Laboratory Phone(719) 924-9398
Laboratory LocationRocky Mountain Primary Care Clinic131 South Main St Suite 101, Pueblo, CO 81003
CLIA data matches this NPI record on: Address Name 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.

TAYLOR ANNE WATLEY MT
Massage Therapist
131 S MAIN ST
PUEBLO, CO 81003
Pueblo County (719) 924-9398

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 Rocky Mountain Primary Care Clinic's NPI number?

The NPI number for Rocky Mountain Primary Care Clinic is 1720385016. It was assigned to this organization in the NPPES registry on February 22, 2011.

Where is Rocky Mountain Primary Care Clinic located?

Rocky Mountain Primary Care Clinic is located at 131 S Main St Suite 101, Pueblo, CO 81003. The listed phone number is (719) 924-9398.

What is Rocky Mountain Primary Care Clinic's specialty?

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

Does Rocky Mountain Primary Care Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2025909) is associated with this NPI, valid through June 20, 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 Rocky Mountain Primary Care Clinic was last updated on March 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.