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Poudre Valley Medical Group, LLC

Podiatrist in Pueblo, CO · enumerated 2025 · authorized official Jana Conroy, Director of Credentialing.

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

National Provider Identifier

1669268413

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Registry record

Entity type Organization (Type 2)
Legal business name Poudre Valley Medical Group, LLC
Parent organization Poudre Valley Medical Group, LLC
Practice address 1619 N Greenwood St Ste 106b, Pueblo, CO, 81003
Fax (719) 542-2490
Enumeration date Apr 17, 2025
Last updated in NPPES Apr 17, 2025

Taxonomy & classification

213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Primary

Authorized official

Name Jana Conroy
Title Director of Credentialing

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 2025-04-17. Verify at npiregistry.cms.hhs.gov.
Where is Poudre Valley Medical Group, LLC located?
The practice location on file with NPPES is in Pueblo, CO.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-04-17.