Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Old Colorado City Wellness PLLC

Organization Allergy & Immunology Physician · NPI 1154971661

Old Colorado City Wellness PLLC is an Allergy & Immunology Physician in Colorado Springs, Colorado. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2020 W Colorado Ave # 303
Colorado Springs, CO 80904-3882
Phone: (719) 473-2368
Fax: (719) 473-4581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X
Allergy & Immunology Physician Taxonomy 207K00000X

Record details

NPI number1154971661
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jill Smothers — Owner/Managing Member · (719) 473-2368
NPI enumeratedSeptember 17, 2019
Last updated in NPPESSeptember 29, 2020
Certification dateSeptember 29, 2020
Mailing address2020 W Colorado Ave # 303, Colorado Springs, CO 80904-3882

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