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STACY GREEN ENTERPRISES, LLC
NPI 1871262253
Clinic/Center - Health Service in Boulder, CO

Active since September 09, 2021
825 S BROADWAY ST STE 100, BOULDER, CO 80305(303) 717-2521 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 11, 2025, Sep 9, 2021 (2 updates tracked since 2021).

About Stacy Green Enterprises, Llc NPPES

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

STACY GREEN ENTERPRISES, LLC (NPI 1871262253), doing business as Dr. Stacy Green, M.d., Llc, is a healthcare organization registered as a health service in Boulder, Colorado and active in the NPI registry since September 2021. The organization lists Stacy Robin Green, Owner, as its authorized official.

NPPES Registry Identity

NPI1871262253
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameSTACY GREEN ENTERPRISES, LLC
Location Address825 S BROADWAY ST STE 100Boulder, CO 80305-5932
Mailing Address825 S Broadway St Ste 100Boulder, CO 80305-5932 · (303) 717-2521
Phone(303) 717-2521
Organization SubpartNo
Authorized OfficialStacy Robin GreenOwner · (303) 717-2521
Enumeration DateSeptember 9, 2021
Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1871262253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
825 S BROADWAY ST STE 100, Boulder, CO 80305
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Other Names 1

Doing Business AsDr. Stacy Green, M.d., Llc

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.

EMERGENCE PSYCHEDELIC THERAPY, LLC
Clinic/Center
825 S BROADWAY ST STE 100
BOULDER, CO 80305
Boulder County (303) 578-8845
DR. STACY ROBIN GREEN M.D.
General Practice
825 S BROADWAY ST STE 100
BOULDER, CO 80305
Boulder County (303) 717-2521

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 Stacy Green Enterprises, LLC's NPI number?

The NPI number for Stacy Green Enterprises, LLC is 1871262253. It was assigned to this organization in the NPPES registry on September 9, 2021. The provider is doing business as Dr. Stacy Green, M.D., LLC.

Where is Stacy Green Enterprises, LLC located?

Stacy Green Enterprises, LLC is located at 825 S Broadway St Ste 100, Boulder, CO 80305. The listed phone number is (303) 717-2521.

What is Stacy Green Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Stacy Green Enterprises, LLC was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.