=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437028347
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | JUST A SEASON LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/30/2025
-----------------------------------------------------
Last Update Date | 10/30/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 929 38TH AVENUE CT STE 101
-----------------------------------------------------
City | GREELEY
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80634-1546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-580-3103
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 929 38TH AVENUE CT STE 101
-----------------------------------------------------
City | GREELEY
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80634-1546
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 970-580-3103
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FNP
-----------------------------------------------------
Name | AUTUMN MARTIN
-----------------------------------------------------
Credential | DNP, FNP-BC
-----------------------------------------------------
Telephone | 970-580-3103
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 364SF0001X
-----------------------------------------------------
Taxonomy Name | Family Health Clinical Nurse Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------