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

Stacy Green Enterprises, LLC

Organization Health Service Clinic/Center · NPI 1871262253

Stacy Green Enterprises, LLC is a Health Service Clinic/Center in Boulder, Colorado. Registered with an NPI since 2021.

In the registry since
2021
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

825 S Broadway St Ste 100
Boulder, CO 80305-5932
Phone: (303) 717-2521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Service Clinic/Center (primary) Taxonomy 261QH0100X

Record details

NPI number1871262253
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stacy Green — Owner · (303) 717-2521
Other names Dr. Stacy Green, M.D., Llc
NPI enumeratedSeptember 9, 2021
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address825 S Broadway St Ste 100, Boulder, CO 80305-5932

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