LIFETIME WELLNESS OF BOULDER LLC (NPI# 1952788093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952788093 |
| Entity Type | Organization |
| Organization Name | LIFETIME WELLNESS OF BOULDER LLC |
| Practice Address |
2800 Folsom St Suite D Boulder CO 80304-3738 |
| Mailing Address |
Po Box 4206 Boulder CO 80306-4206 |
| Practice Telephone | 3033744856 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |
| Authorized Official Name | DR. AMANDA FRIEDHOFF (CEO) |
| Authorized Official Telephone | 3033744856 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
6715 | CO | Chiropractic Providers |
| Street Address |
2800 FOLSOM ST SUITE D |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417908104 | Claude H. Burrow, M.d. | Clinic/Center | 2800 Folsom St, Suite B, Boulder, CO 80304-3738 | 2006-05-15 |
| 1124537568 | Caitlin Christine Campbell | Registered Nurse | 2800 Folsom St, Boulder, CO 80304-3738 | 2017-09-28 |
| 1033560792 | Deborahlise Mota | Acupuncturist | 2800 Folsom St, Suite C, Boulder, CO 80304-3738 | 2016-06-23 |
| 1821459389 | Abrie Koupal | Advanced Practice Midwife | 2800 Folsom St, Boulder, CO 80304-3738 | 2016-03-11 |
| 1104297589 | East West Women's Health Center, LLC | Acupuncturist | 2800 Folsom St, Suite C @ The Birth Center of Boulder, Boulder, CO 80304-3738 | 2015-10-12 |
| 1003211251 | Renee Lynn Clark | Advanced Practice Midwife | 2800 Folsom St, Boulder, CO 80304-2183 | 2014-10-30 |
| 1992122402 | The Birth Center of Boulder | Advanced Practice Midwife | 2800 Folsom St, Boulder, CO 80304-3738 | 2014-03-21 |
| 1336447630 | Jenevieve Susan-glemming Russell | Counselor | 2800 Folsom St, Boulder, CO 80304-3738 | 2011-03-10 |
| 1225330186 | Tuesday L Wasserman | Acupuncturist | 2800 Folsom St, Boulder, CO 80304-3738 | 2010-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 111NP0017X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Pediatric Chiropractor |
| The Pediatric Chiropractor is a chiropractor with specialized, advanced training and certification in the evaluation, care and management of health and wellness conditions of infancy, childhood and adolescence. This specialist provides primary, comprehensive, therapeutic and preventative chiropractic health care for newborns through adolescents. |
| Notes: Source: Council on Chiropractic Pediatrics, American Chiropractic Association, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609242585 | Rejuvinnate Family Chiropractic, LLC | Chiropractor | 10464 E 29th Dr, 102, Denver, CO 80238-3571 | 2015-08-14 |
| 1356750442 | Patricia Kloor | Chiropractor | 7590 Sheridan Blvd., Westminster, CO 80003 | 2014-08-04 |
| 1699018218 | Casey L Cherubini | Chiropractor | 951 E 6th Ave, Denver, CO 80218-3301 | 2013-04-02 |
| 1295082428 | Krysta Stickler | Chiropractor | 1504 Sandpiper Pl, Pueblo, CO 81006-9751 | 2012-08-07 |
| 1427328020 | Womb for Growth | Chiropractor | 2850 Mcclelland Dr Ste 3600, Fort Collins, CO 80525-2587 | 2012-01-12 |
| 1679086631 | Melissa Warehime | Chiropractor | 3221 Eastbrook Dr, Fort Collins, CO 80525-5708 | 2017-11-13 |
| 1063875888 | 100 Percent Chiropractic Denver Five | Chiropractor | 3800 W 144th Ave, A700, Broomfield, CO 80023-6123 | 2016-03-30 |
| 1174841464 | Denver Spine LLC | Chiropractor | 1699 S Colorado Blvd, Unit M, Denver, CO 80222-4036 | 2010-05-11 |
| 1336472950 | New Leaf Chiropractic, LLC | Chiropractor | 600 S Airport Rd, Bldng C Unit C, Longmont, CO 80503-6424 | 2009-09-14 |
| 1346493020 | Jenny Michelle Hettich | Chiropractor | 263 2nd Ave, Suite 100a, Niwot, CO 80544 | 2008-10-28 |
| Find all providers with the same taxonomy | ||||
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| 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.