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INTEGRATIVE PEDIATRIC HEALTH CARE, LLC
NPI 1902275712
Clinic/Center - Primary Care in Denver, CO

Active since September 22, 2015CLIA 06D2104937 · Waiver
3540 S POPLAR ST STE 202, DENVER, CO 80237(720) 442-3615(720) 870-3726 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2021, Jul 15, 2020, Aug 24, 2016 and 2 more (5 updates tracked since 2016).

About Integrative Pediatric Health Care, Llc NPPES

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

INTEGRATIVE PEDIATRIC HEALTH CARE, LLC (NPI 1902275712) is a healthcare organization registered as a primary care in Denver, Colorado and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through November 15, 2027 and lists Jennifer Gaughan, Member, Practitioner, as its authorized official.

NPPES Registry Identity

NPI1902275712
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameINTEGRATIVE PEDIATRIC HEALTH CARE, LLC
Location Address3540 S POPLAR ST STE 202Denver, CO 80237-1362
Mailing Address3540 S Poplar St Ste 202Denver, CO 80237-1362 · (720) 442-3615 · Fax (720) 870-3726
Phone(720) 442-3615
Fax(720) 870-3726
Organization SubpartNo
Authorized OfficialJennifer GaughanMember, Practitioner · (719) 494-5123
Enumeration DateSeptember 22, 2015
Last NPPES UpdateFebruary 3, 20215 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
✔ NPI 1902275712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
3540 S POPLAR ST STE 202, Denver, CO 80237
Open in Google Maps ↗

Other Identifiers 1

Medicaid10820051CO

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 MULTIPLE SINGLE SPECIALTY GROUP

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 06D2104937

Integrative Pediatric Health Care, LLC · Denver, CO
Active · expires Nov 15, 2027
CLIA Number06D2104937
Laboratory TypePediatric Nurse Pract
Certificate Effective DateNovember 16, 2025
Certificate Expiration DateNovember 15, 2027
Laboratory DirectorDr. Mary I. Enzman-Hines
Laboratory Phone(720) 442-3615
Laboratory LocationIntegrative Pediatric Health Care, LLC3540 S Poplar St, Suite 202, Denver, CO 80237
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

DR. RICHARD L BORREGO PH.D.
Clinical Neuropsychologist
3540 S POPLAR ST STE 202
DENVER, CO 80237
Denver County (303) 850-7510
DR. MARY IRENE ENZMAN HINES PHD, APRN, CPNP
Nurse Practitioner (Pediatrics)
3540 S POPLAR ST STE 202
DENVER, CO 80237
Denver County (720) 442-3615
JENNIFER GAUGHAN MS, APRN, CPNP-PC
Nurse Practitioner (Pediatrics)
3540 S POPLAR ST STE 202
DENVER, CO 80237
Denver County (720) 442-3615

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 Integrative Pediatric Health Care, LLC's NPI number?

The NPI number for Integrative Pediatric Health Care, LLC is 1902275712. It was assigned to this organization in the NPPES registry on September 22, 2015.

Where is Integrative Pediatric Health Care, LLC located?

Integrative Pediatric Health Care, LLC is located at 3540 S Poplar St Ste 202, Denver, CO 80237. The listed phone number is (720) 442-3615.

What is Integrative Pediatric Health Care, LLC's specialty?

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

Does Integrative Pediatric Health Care, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2104937) is associated with this NPI, valid through November 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Integrative Pediatric Health Care, LLC was last updated on February 3, 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.