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Ideal Family Medicine, Ltd

Family Nurse Practitioner in Pueblo, CO · enumerated 2017 · authorized official Jade Bryant, Owner.

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

National Provider Identifier

1255865713

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Registry record

Entity type Organization (Type 2)
Legal business name Ideal Family Medicine, Ltd
Practice address 1910 Lake Ave, Pueblo, CO, 81004
Phone (719) 582-1489
Fax (719) 434-9807
Enumeration date Apr 11, 2017
Last updated in NPPES Mar 4, 2024

Taxonomy & classification

363LF0000X Family Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 0992962 (CO) Primary

Authorized official

Name Jade Bryant
Title Owner
Phone (719) 582-1489

Other identifiers

Identifier Type State Issuer
1154861995 Medicaid CO -

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 2024-03-04. Verify at npiregistry.cms.hhs.gov.
Where is Ideal Family Medicine, Ltd located?
The practice location on file with NPPES is in Pueblo, CO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-04.