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NP PRIMARY WELLNESS
NPI 1730929845
Nurse Practitioner - Family in Pueblo, CO

Active since May 28, 2024CLIA Certified · 2 labs
805 EAGLERIDGE BLVD STE 140, PUEBLO, CO 81008(719) 966-0442(719) 888-6835 Get Directions Write a Review

NPPES record last updated: December 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 29, 2024, Jun 12, 2024 (2 updates tracked since 2024).

About Np Primary Wellness NPPES

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

NP PRIMARY WELLNESS (NPI 1730929845) is a healthcare organization registered as a family in Pueblo, Colorado and active in the NPI registry since May 2024. The organization holds 2 active CLIA laboratory certificates and lists Darcy Heim, Fnp/ Owner, as its authorized official.

NPPES Registry Identity

NPI1730929845
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameNP PRIMARY WELLNESS
Location Address805 EAGLERIDGE BLVD STE 140Pueblo, CO 81008-2354
Mailing Address776 E Alameda LnPueblo West, CO 81007
Phone(719) 966-0442
Fax(719) 888-6835
Organization SubpartNo
Authorized OfficialDarcy HeimFnp/ Owner · (303) 884-0229
Enumeration DateMay 28, 2024
Last NPPES UpdateDecember 29, 20242 updates tracked since enumeration
NPPES CertifiedDecember 29, 2024
✔ NPI 1730929845 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
805 EAGLERIDGE BLVD STE 140, Pueblo, CO 81008
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 06D2316161

Np Primary Wellness · Pueblo, CO
Active · expires Dec 29, 2026
CLIA Number06D2316161
Laboratory TypePractitioner Other
Certificate Effective DateDecember 30, 2024
Certificate Expiration DateDecember 29, 2026
Laboratory DirectorDarcy V. Heim
Laboratory Phone(719) 966-0442
Laboratory LocationNp Primary Wellness805 Eagleridge Blvd, Suite 140, Pueblo, CO 81008
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 06D2307460

Np Primary Wellness · Pueblo, CO
Active · expires Jul 8, 2028
CLIA Number06D2307460
Laboratory TypePractitioner Other
Certificate Effective DateJuly 9, 2026
Certificate Expiration DateJuly 8, 2028
Laboratory DirectorJesusita Tafoya
Laboratory Phone(719) 966-0442
Laboratory LocationNp Primary Wellness416 Colorado Ave, Pueblo, CO 81004
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KRISTINA MARIE WOLF FNP-BC
Nurse Practitioner (Family)
805 EAGLERIDGE BLVD STE 140
PUEBLO, CO 81008
Pueblo County (719) 627-4287
KATHERINE D STEWART LCSW
Social Worker (Clinical)
805 EAGLERIDGE BLVD STE 140
PUEBLO, CO 81008
Pueblo County (719) 679-5022
ADAEZE JAJI
Nurse Practitioner (Psychiatric/Mental Health)
805 EAGLERIDGE BLVD STE 140
PUEBLO, CO 81008
Pueblo County (719) 679-5022
ALEXANDRA N STEWART PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
805 EAGLERIDGE BLVD STE 140
PUEBLO, CO 81008
Pueblo County (719) 679-5022

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 Np Primary Wellness's NPI number?

The NPI number for Np Primary Wellness is 1730929845. It was assigned to this organization in the NPPES registry on May 28, 2024.

Where is Np Primary Wellness located?

Np Primary Wellness is located at 805 Eagleridge Blvd Ste 140, Pueblo, CO 81008. The listed phone number is (719) 966-0442.

What is Np Primary Wellness's specialty?

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

Does Np Primary Wellness hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Np Primary Wellness was last updated on December 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.