Healthcare Provider Details

I. General information

NPI: 1659291821
Provider Name (Legal Business Name): NEXTERA HEALTHCARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CORPORATE LAKE DR
COLUMBIA MO
65203-7172
US

IV. Provider business mailing address

205 S MAIN ST STE A
LONGMONT CO
80501-1714
US

V. Phone/Fax

Practice location:
  • Phone: 573-814-1170
  • Fax: 573-530-1037
Mailing address:
  • Phone: 303-501-2600
  • Fax: 877-764-4622

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE CULJAT
Title or Position: MEDICAL SUPPORT DIRECTOR
Credential:
Phone: 303-501-2600