TIMBERLINE CLINIC, INC.
NPI 1861618191
Nurse Practitioner - Family in Fairplay, CO

Active since April 17, 2007
980 MAIN ST., FAIRPLAY, CO 80440(719) 836-3455(719) 836-1792 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Timberline Clinic, Inc. NPPES

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

TIMBERLINE CLINIC, INC. (NPI 1861618191) is a healthcare organization registered as a family in Fairplay, Colorado and active in the NPI registry since April 2007. The organization lists Kathryn L. Young, President, as its authorized official.

NPPES Registry Identity

NPI1861618191
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTIMBERLINE CLINIC, INC.
Location Address980 MAIN ST.Fairplay, CO 80440-0723
Mailing AddressPo Box 723, 980 Main St.Fairplay, CO 80440-0723 · (719) 836-3455 · Fax (719) 836-1792
Fax(719) 836-1792
Organization SubpartNo
Authorized OfficialKathryn L. YoungPresident · (719) 836-3455
Enumeration DateApril 17, 2007
Last NPPES UpdateMay 18, 2016
NPI 1861618191 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
License Licensed in CO · 43262
980 MAIN ST., Fairplay, CO 80440

Other Identifiers 12

Other01CO · Co Pacificare
OtherYO634320CO · Co Blue Shield
Medicare UPINR19791CO
Medicare ID-Type Unspecified76106CO
Medicare ID-Type UnspecifiedB2738CO
Medicaid04008850CO
OtherA=========001CO · Rocky Mtn Hmo
Medicare UPINE41948CO
Medicaid01219609CO
Other500000326CO · Railroad Medicare
OtherSH29090CO · Co Blue Shield
Medicaid07100753CO

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

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 (Family)
980 MAIN ST.
FAIRPLAY, CO 80440

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 Timberline Clinic, Inc.'s NPI number?

The NPI number for Timberline Clinic, Inc. is 1861618191. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Timberline Clinic, Inc. located?

Timberline Clinic, Inc. is located at 980 Main St., Fairplay, CO 80440. The listed phone number is (719) 836-3455.

What is Timberline Clinic, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Timberline Clinic, Inc. was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.