SQUARE ONE HEALTH LLC
NPI 1790370914
Nurse Practitioner in Fort Collins, CO

Active since March 09, 2021
257 BOARDWALK DR, FORT COLLINS, CO 80525(970) 207-4463(970) 207-4052 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Square One Health Llc NPPES

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

SQUARE ONE HEALTH LLC (NPI 1790370914) is a healthcare organization registered as a nurse practitioner in Fort Collins, Colorado and active in the NPI registry since March 2021. The organization lists Christopher Gubbels, Owner, as its authorized official.

NPPES Registry Identity

NPI1790370914
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameSQUARE ONE HEALTH LLC
Location Address257 BOARDWALK DRFort Collins, CO 80525-3661
Mailing Address4914 Brookfield Dr Unit AFort Collins, CO 80528-3199 · (970) 207-4463
Fax(970) 207-4052
Organization SubpartNo
Authorized OfficialChristopher GubbelsOwner · (970) 207-4463
Enumeration DateMarch 9, 2021
NPPES CertifiedMarch 9, 2021
NPI 1790370914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
257 BOARDWALK DR, Fort Collins, CO 80525

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

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner (Family)
257 BOARDWALK DR
FORT COLLINS, CO 80525
Chiropractor
257 BOARDWALK DR
FORT COLLINS, CO 80525

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 Square One Health LLC's NPI number?

The NPI number for Square One Health LLC is 1790370914. It was assigned to this organization in the NPPES registry on March 9, 2021.

Where is Square One Health LLC located?

Square One Health LLC is located at 257 Boardwalk Dr, Fort Collins, CO 80525. The listed phone number is (970) 207-4463.

What is Square One Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Square One Health LLC was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.