Healthcare Provider Details

I. General information

NPI: 1649186982
Provider Name (Legal Business Name): J ERIN STAPLES MD, PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3156 RAMPART ROAD
FORT COLLINS CO
80521
US

IV. Provider business mailing address

3156 RAMPART ROAD
FORT COLLINS CO
80521
US

V. Phone/Fax

Practice location:
  • Phone: 970-221-6400
  • Fax:
Mailing address:
  • Phone: 970-221-6400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0041578
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: