Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Fort Collins Youth Clinic

Pediatrics Physician in Timnath, CO · enumerated 2020 · authorized official Stephanie Fred, Executive Assistant.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043807209

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Registry record

Entity type Organization (Type 2)

Legal business name Fort Collins Youth Clinic

Practice address 4845 Weitzel St, Timnath, CO, 80547

Phone (970) 267-9510

Fax (970) 207-9967

Enumeration date Dec 22, 2020

Last updated in NPPES Dec 22, 2020

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Stephanie Fred

Title Executive Assistant

Phone (970) 267-9510

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-12-22. Verify at npiregistry.cms.hhs.gov.

Where is Fort Collins Youth Clinic located?

The practice location on file with NPPES is in Timnath, CO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-12-22.