WESTSIDE WELLNESS PLLC


Address: 2020 W Colorado Ave Ste 201, Colorado Springs, CO 80904-3863
Phone: 7196466746

WESTSIDE WELLNESS PLLC (NPI# 1053880120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053880120
Entity Type Organization
Organization Name WESTSIDE WELLNESS PLLC
Other Organization Name JILL E SMOTHERS FNP, PLLC
Practice Address 2020 W Colorado Ave Ste 201
Colorado Springs
CO 80904-3863
Mailing Address 2020 W Colorado Ave Ste 301
Colorado Springs
CO 80904-3882
Practice Telephone 7196466746
Practice Fax Number 7194349556
Mailing Telephone 7196466746
Mailing Fax Number 7194734581
Enumeration Date 2018-11-19
Last Update Date 2020-04-02
Authorized Official Name MS. JILL SMOTHERS (OWNER, MANAGING MEMBER)
Authorized Official Telephone 7196466746
Authorized Official Credential FNP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Jill E Smothers FNP, PLLC Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Westside Wellness PLLC 2020 West Colorado Ave, Colorado Springs, CO 80904

Office Location

Street Address 2020 W COLORADO AVE STE 201
City COLORADO SPRINGS
State CO
Zip Code 80904-3863

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295334746 Joel Allen Miller Clinic/Center 2125 Norwich Dr, Colorado Springs, CO 80920-5332 2020-10-25
1972122232 Chc Ncs, LLC Clinic/Center 11681 Voyager Pkwy Ste 110, Colorado Springs, CO 80921-3862 2020-04-15
1255831665 Colorado Department of Corrections Clinic/Center 1250 Academy Park Loop, Colorado Springs, CO 80910-3708 2018-02-13
1205355732 Healthworks Med Group of Colorado P C Clinic/Center 9970 Federal Dr, Colorado Springs, CO 80921-3616 2017-09-15
1841688058 Thrive Wellness Centre Clinic/Center 3540 Austin Bluffs Pkwy, Ste 7 & 8, Colorado Springs, CO 80918-5731 2014-12-23
1609114560 Sensible Chiropractic Pllc Clinic/Center 1880 Dublin Blvd Ste E, Colorado Springs, CO 80918-1224 2013-01-27
1194031575 Rocky Mountain Brain Injury Services, LLC Clinic/Center 1420 E Fountain Blvd, Colorado Springs, CO 80910-3502 2010-08-24
1528220258 Peter M. Bianco Do LLC Clinic/Center 5333 N Union Blvd, Ste 200, Colorado Springs, CO 80918-2051 2008-06-25
1740493329 Tlc Vc, LLC Clinic/Center 6430 N Academy Blvd, Colorado Springs, CO 80918-8303 2007-05-08
1336119403 Dod Clinic/Center 7500 Cochrane Cir, Ft.carson, Colorado Springs, CO 80913-7692 2006-01-23
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Competitor

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City COLORADO SPRINGS
Zip Code 80904

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Dataset Information

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.

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