RISE COLLECTIVE BOULDER LLC
NPI 1881558393
Obstetrics & Gynecology - Obstetrics in Boulder, CO

Active since December 10, 2025CLIA 06D2331685 · Waiver
1810 30TH ST STE B, BOULDER, CO 80301(303) 442-7473 Get Directions Write a Review

NPPES record last updated: December 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Obstetrics & Gynecology
  • Obstetrics
  • CLIA Number: 06D2331685
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 10-06-2027

About RISE COLLECTIVE BOULDER LLC

This page provides the complete NPI Profile along with additional information for Rise Collective Boulder Llc, a women's health care provider established in Boulder, Colorado operating as a Obstetrics & Gynecology, focusing in obstetrics . The healthcare provider is registered in the NPI registry with number 1881558393 assigned on December 2025. The practitioner's primary taxonomy code is 207VX0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Rise Collective Boulder Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Alicia Moreno (Executive Director)

NPI
1881558393 Verify this NPI
Provider Name
RISE COLLECTIVE BOULDER LLC
Entity Type
Organization
Location Address
1810 30TH ST STE B BOULDER, CO 80301
Location Phone
(303) 442-7473
Mailing Address
1810 30TH ST STE B BOULDER, CO 80301
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2025
Last Update Date
12-10-2025
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Women's health care providers like Rise Collective Boulder Llc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Obstetrics & Gynecology Obstetrics

Taxonomy Code
207VX0000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ALICIA MORENO

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(303) 442-7473

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
06D2331685
Facility Type
Community Clinic
Certificate Effective Date
October 07, 2025
Certificate Expiration Date
October 06, 2027
Laboratory Director
LEILANI F. SWIFT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Rise Collective Boulder Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for RISE COLLECTIVE BOULDER LLC

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Specialist
1810 30TH ST STE B
BOULDER, CO 80301
Eyewear Supplier
1810 30TH ST STE B
BOULDER, CO 80301
Ophthalmology
1810 30TH ST STE B
BOULDER, CO 80301
Optometrist
1810 30TH ST STE B
BOULDER, CO 80301
Family Medicine
1810 30TH ST STE B
BOULDER, CO 80301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881558393, enumerated as an "organization" on December 10, 2025.

The provider is located at 1810 30TH ST STE B BOULDER, CO 80301 and the phone number is (303) 442-7473.

Obstetrics & Gynecology with taxonomy code 207VX0000X and a focus in Obstetrics.