{"npi":"1770048845","type":"NPI-2","status":"active","name":{"display":"Poudre Valley Medical Group, LLC","other":[],"organization_name":"POUDRE VALLEY MEDICAL GROUP, LLC","authorised_official":"Jana Conroy"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":false,"state":null,"license":null},{"code":"208800000X","description":"Urology Physician","primary":false,"state":null,"license":null},{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":false,"state":null,"license":null},{"code":"208100000X","description":"Physical Medicine & Rehabilitation","primary":false,"state":null,"license":null},{"code":"208VP0000X","description":"Pain Medicine Physician","primary":false,"state":null,"license":null},{"code":"231H00000X","description":"Audiologist","primary":false,"state":null,"license":null},{"code":"207RG0100X","description":"Gastroenterology","primary":false,"state":null,"license":null},{"code":"2084N0400X","description":"Neurology","primary":false,"state":null,"license":null},{"code":"208000000X","description":"Pediatrics","primary":false,"state":null,"license":null},{"code":"207RE0101X","description":"Endocrinology, Diabetes & Metabolism Physician","primary":false,"state":null,"license":null},{"code":"2086S0122X","description":"Plastic and Reconstructive Surgery Physician","primary":false,"state":null,"license":null},{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":null,"license":null},{"code":"207RR0500X","description":"Rheumatology Physician","primary":false,"state":null,"license":null},{"code":"207Y00000X","description":"Otolaryngology Physician","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1925 MOUNTAIN VIEW AVE","city":"LONGMONT","state":"CO","postal_code":"805013128","country_code":"US","phone":"3037761234"},{"purpose":"MAILING","street_1":"2695 ROCKY MOUNTAIN AVE STE 150","city":"LOVELAND","state":"CO","postal_code":"805389071","country_code":"US"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"75302373","state":"CO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-02-04","last_updated":"2026-05-28","_meta":{"source":"NPPES","snapshot_date":"2026-05-28","doc_url":"https://findmynpi.com/api"}}