MRS. AMY MICHELLE MEDALIE (NPI# 1003045204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003045204 |
| Entity Type | Individual |
| Full Name | MRS. AMY MICHELLE MEDALIE |
| Other Name | AMY MICHELLE MEDALIE |
| Credential | NP |
| Practice Address |
255 Union Blvd Ste 120 Lakewood CO 80228-1833 |
| Practice Telephone | 3039367415 |
| Mailing Telephone | 3039367415 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
6037 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
255 UNION BLVD STE 120 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952786824 | Leanne Beth Wellbrock | Nurse Practitioner | 255 Union Blvd Ste 120, Lakewood, CO 80228 | 2015-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1669544813 | Grace E Slate | Nurse Practitioner | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2006-11-14 |
| 1447367198 | Brenda Digiulio | Nurse Practitioner | 14701 Detroit Ave Ste 522, Lakewood, OH 44107-4109 | 2006-08-25 |
| 1275520405 | Michelle Marie Hayes | Nurse Practitioner | 9101 Bridgeport Way Sw, Suite A, Lakewood, WA 98499 | 2005-10-03 |
| 1053959544 | Ahuva Hollander | Nurse Practitioner | 400 Madison Ave, Lakewood, NJ 08701-3225 | 2019-12-15 |
| 1952786824 | Leanne Beth Wellbrock | Nurse Practitioner | 255 Union Blvd Ste 120, Lakewood, CO 80228 | 2015-07-21 |
| 1396149662 | Michelle Scianna | Nurse Practitioner | 14701 Detroit Ave, Suite 522, Lakewood, OH 44107-4115 | 2014-10-15 |
| 1578964771 | Lauren Sterner | Nurse Practitioner | 2020 Wadsworth Blvd, Suite Number 16, Lakewood, CO 80214-5728 | 2014-09-08 |
| 1770908071 | Christine Logue | Nurse Practitioner | 645 Parfet St, Lakewood, CO 80215-5574 | 2014-02-23 |
| 1093053159 | Rebecca Kr Freeman | Nurse Practitioner | 255 Union Blvd, 120, Lakewood, CO 80228-1810 | 2013-01-24 |
| Find all providers in LAKEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.