PURE POTENTIAL, PLLC (NPI# 1841663101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841663101 |
| Entity Type | Organization |
| Organization Name | PURE POTENTIAL, PLLC |
| Practice Address |
1545 Alcott St Fort Collins CO 80525-5701 |
| Mailing Address |
5151 Boardwalk Dr Unit L4 Fort Collins CO 80525-6245 |
| Practice Telephone | 9705300420 |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |
| Authorized Official Name | DR. RYAN P HARWARD (CHIROPRACTOR) |
| Authorized Official Telephone | 9705564807 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHR.0007365 | CO | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Pure Potential, PLLC | 1406 61st Avenue, Greeley, CO 80634 |
| Street Address |
1545 ALCOTT ST |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-5701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699239020 | Matthew Basilio | Chiropractor | 1015 S Taft Hill Rd Ste F, Fort Collins, CO 80521-4240 | 2019-01-30 |
| 1992274732 | Brave Roots Chiropractic | Chiropractor | 2111 S College Ave Ste B, Fort Collins, CO 80525-5404 | 2018-11-22 |
| 1497221733 | Jo Nell M Shaw | Chiropractor | 451 Boardwalk Dr Apt 513, Fort Collins, CO 80525-3224 | 2018-10-14 |
| 1013404037 | Joshua Thomas Werner | Chiropractor | 257 E. Boardwalk Dr., Fort Collins, CO 80525-8052 | 2018-04-16 |
| 1659886778 | Justin Lee Smestad | Chiropractor | 218 S Sunset St, Fort Collins, CO 80521-2102 | 2017-12-12 |
| 1669990966 | Simone Raedeke | Chiropractor | 115 E Harmony Rd Ste 200, Fort Collins, CO 80525-3280 | 2017-09-07 |
| 1427574664 | Peter Bulcher | Chiropractor | 1825 Sharp Point Dr, Fort Collins, CO 80525-4450 | 2017-08-18 |
| 1144743758 | Kendra Renee Conner | Chiropractor | 1027 W Horsetooth Rd S, Suite 101, Fort Collins, CO 80526-5982 | 2017-07-25 |
| 1598299125 | Corinne Deuel-gentile | Chiropractor | 811 E Elizabeth St, Fort Collins, CO 80524-3844 | 2017-04-20 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
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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.