OrganizationActive
Children'S Clinic of Pueblo, PC
NPI 1962553172 · Pediatrics Physician · Pueblo, CO
Provider details
- NPI number
- 1962553172
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Loraine Carroll, Physician(719) 295-2305
- License
- 36942 (CO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1600 N Grand Ave
Suite 240
Pueblo, CO 81003-2700
Phone: (719) 295-2305
Fax: (719) 295-2320
Street-level locationGet directions
Mailing address
1600 N Grand Ave
Pueblo, CO 81003-2700
Registry dates
- Enumerated
- 2007-01-15
- Last updated
- 2011-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.