Stacy Green Enterprises, LLC
NPI 1871262253 · Health Service Clinic/Center · Boulder, CO
Stacy Green Enterprises, LLC is a Health Service Clinic/Center organization in Boulder, CO (NPI 1871262253).
Provider details
- NPI number
- 1871262253
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stacy Green, Owner(303) 717-2521
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dr. Stacy Green, M.D., LLC
Registry dates
- Enumerated
- 2021-09-09
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Frequently asked questions
- What is Stacy Green Enterprises, LLC's NPI number?
- Stacy Green Enterprises, LLC's National Provider Identifier (NPI) is 1871262253, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Stacy Green Enterprises, LLC?
- Stacy Green Enterprises, LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Stacy Green Enterprises, LLC located?
- Stacy Green Enterprises, LLC's practice location on file with NPPES is 825 S Broadway St Ste 100, Boulder, CO 80305-5932.
- What is Stacy Green Enterprises, LLC's phone number?
- The practice phone number listed in the NPPES registry for Stacy Green Enterprises, LLC is (303) 717-2521.
- Who is the authorized official for Stacy Green Enterprises, LLC?
- The authorized official listed on Stacy Green Enterprises, LLC's NPPES record is Stacy Green, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Stacy Green Enterprises, LLC's NPI active?
- Yes — Stacy Green Enterprises, LLC's NPI (1871262253) is active in the NPPES registry as of the last update on 2025-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.