Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Everside Health, LLC

Organization Family Medicine Physician · NPI 1710365416

Everside Health, LLC is a Family Medicine Physician in Pueblo, Colorado. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 Fortino Blvd Ste C
Pueblo, CO 81008-2078
Phone: (719) 404-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1710365416
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDavita DPC Holding, Inc
Authorized official Jill Patton — Director Of Risk Management · (704) 936-5546
Other names Everside Health - Pueblo Fortino Blvd; Everside Health - Pueblo Fortino Blvd
NPI enumeratedMay 13, 2015
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022
Mailing address4651 Charlotte Park Dr Ste 300, Charlotte, NC 28217-1916

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