MEDICARE: KINSTEAD HEALTH COLLECTIVE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1053251736
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KINSTEAD HEALTH COLLECTIVE LLC

Provider Business Mailing Address
First Line	:	2955 NEW CENTER PT # 1113
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-2806
Country	:	US
Telephone Number	:	719-212-1633
Fax Number	:	719-888-1852

Provider Business Practice Location Address
First Line	:	2955 NEW CENTER PT # 1113
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80922-2806
Country	:	US
Telephone Number	:	719-212-1633
Fax Number	:	719-888-1852

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	AMBER GRIFFIS
Credential	:	FNP
Telephone Number	:	606-515-9372

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

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