LIFESPORT CHIROPRACTIC CHIROPRACTIC LLC (NPI# 1447495932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447495932 |
| Entity Type | Organization |
| Organization Name | LIFESPORT CHIROPRACTIC CHIROPRACTIC LLC |
| Practice Address |
2955 Valmont Rd Ste. 100 Boulder CO 80301-1396 |
| Practice Telephone | 3038771458 |
| Mailing Telephone | 3038771458 |
| Enumeration Date | 2008-12-11 |
| Last Update Date | 2010-04-02 |
| Authorized Official Name | DR. LISA M ERIKSON (SOLE PROPRIETOR) |
| Authorized Official Telephone | 3038771458 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
6225 | CO | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
6225 | CO | Ambulatory Health Care Facilities |
| Street Address |
2955 VALMONT RD STE. 100 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023058047 | Jeffrey Alan Gunter | Emergency Medicine | 2955 Valmont Rd, Suite 210, Boulder, CO 80301-1396 | 2006-06-07 |
| 1982050027 | Kathleen Salmon | Social Worker | 2955 Valmont Rd, Suite 110, Boulder, CO 80301-1396 | 2016-05-08 |
| 1699930941 | Lisa M Erikson | Chiropractor | 2955 Valmont Rd, Ste 100, Boulder, CO 80301-1396 | 2008-07-25 |
| 1194930396 | Psychological Services Corporation | Psychologist | 2955 Valmont Rd, Ste 230, Boulder, CO 80301 | 2007-05-11 |
| 1841315801 | Jennifer M. Mclemore | Acupuncturist | 2955 Valmont Rd, Suite 100, Boulder, CO 80301-1396 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
| 1720503139 | Take Two Health PC | Clinic/Center | 2503 Walnut St Ste 200, Boulder, CO 80302-5745 | 2017-08-07 |
| 1740837137 | Boulder Community Health | Clinic/Center | 6685 Gunpark Dr Ste 110, Boulder, CO 80301-3343 | 2019-08-21 |
| 1629625108 | Boulder Community Health | Clinic/Center | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2019-08-20 |
| 1013564517 | Boulder Community Health | Clinic/Center | 5495 Arapahoe Ave Ste 100, Boulder, CO 80303-1224 | 2019-08-20 |
| 1285281865 | Boulder Community Health | Clinic/Center | 2995 Baseline Rd Ste 210, Boulder, CO 80303-2318 | 2019-08-20 |
| 1942856745 | Boulder Community Health | Clinic/Center | 2575 Spruce St, Boulder, CO 80302-3806 | 2019-08-16 |
| 1982250775 | Boulder Community Health | Clinic/Center | 5495 Arapahoe Ave Ste 200, Boulder, CO 80303-1225 | 2019-08-16 |
| 1821415407 | Foundation Health | Clinic/Center | 1949 Pearl St, Boulder, CO 80302-4496 | 2014-03-21 |
| 1568715183 | Nancy Kelley, Md, LLC | Clinic/Center | 4745 Arapahoe Ave, Suite 310, Boulder, CO 80303-1080 | 2012-10-19 |
| Find all providers in BOULDER | ||||
Please comment or provide details below to improve the information on LIFESPORT CHIROPRACTIC CHIROPRACTIC LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.