1. Home
  2. Directory
  3. Colorado
  4. Florissant
  5. Clinic Center
  6. NPI Profile

FLORISSANT FAMILY MEDICINE, LLC
NPI 1871124248
Clinic/Center - Primary Care in Florissant, CO

Active since February 03, 2020CLIA 06D2177602 · Waiver
18100 COUNTY RD 1, FLORISSANT, CO 80816(719) 839-1923(833) 539-1731 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 1, 2022, Feb 21, 2020, Feb 3, 2020 (3 updates tracked since 2020).

About Florissant Family Medicine, Llc NPPES

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

FLORISSANT FAMILY MEDICINE, LLC (NPI 1871124248) is a healthcare organization registered as a primary care in Florissant, Colorado and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through January 13, 2028 and lists Deanna L Mcnulty, Owner, as its authorized official.

NPPES Registry Identity

NPI1871124248
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameFLORISSANT FAMILY MEDICINE, LLC
Location Address18100 COUNTY RD 1Florissant, CO 80816-9404
Mailing AddressPo Box 189Florissant, CO 80816-0189 · (719) 839-1923 · Fax (833) 539-1731
Phone(719) 839-1923
Fax(833) 539-1731
Organization SubpartNo
Authorized OfficialDeanna L McnultyOwner · (719) 839-1923
Enumeration DateFebruary 3, 2020
Last NPPES UpdateSeptember 1, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1871124248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
18100 COUNTY RD 1, Florissant, CO 80816
Open in Google Maps ↗

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 06D2177602

Florissant Family Medicine, LLC · Florissant, CO
Active · expires Jan 13, 2028
CLIA Number06D2177602
Laboratory TypeRural Health Clinic
Certificate Effective DateJanuary 14, 2026
Certificate Expiration DateJanuary 13, 2028
Laboratory DirectorDeanna L. Mcnulty
Laboratory Phone(719) 839-1923
Laboratory LocationFlorissant Family Medicine, LLC18172 County Road 1, Florissant, CO 80816
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

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

DR. DEANNA L MCNULTY DNP
Nurse Practitioner (Family)
18100 COUNTY RD 1
FLORISSANT, CO 80816
Teller County (719) 839-1923

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 Florissant Family Medicine, LLC's NPI number?

The NPI number for Florissant Family Medicine, LLC is 1871124248. It was assigned to this organization in the NPPES registry on February 3, 2020.

Where is Florissant Family Medicine, LLC located?

Florissant Family Medicine, LLC is located at 18100 County Rd 1, Florissant, CO 80816. The listed phone number is (719) 839-1923.

What is Florissant Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Florissant Family Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2177602) is associated with this NPI, valid through January 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Florissant Family Medicine, LLC was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.