Colorado Center for Lifestyle Medicine
NPI 1558099119ActiveOrganization· Nurse Practitioner, Family· Salida, CO
Nurse Practitioner, Family in Salida, Colorado, registered in NPPES in August 2022. The authorized official on file is Bronwyn Radcliffe, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558099119 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 11, 2022 |
| Last updated in NPPES | Aug 11, 2022 |
| Certified by provider | Aug 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CO) |
|---|
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