ANDREA CRANDALL (NPI# 1013440726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013440726 |
| Entity Type | Individual |
| Full Name | ANDREA CRANDALL |
| Other Name | ANDREA KOSARES |
| Credential | PNP-PC |
| Practice Address |
9235 Crown Crest Blvd Suite 100 Parker CO 80138-8880 |
| Mailing Address |
7856 E 22nd Pl Denver CO 80238-3542 |
| Practice Telephone | 7204586543 |
| Practice Fax Number | 7204586544 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0991394 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
9235 CROWN CREST BLVD SUITE 100 |
| City | PARKER |
| State | CO |
| Zip Code | 80138-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013999895 | Ravi C Shah | Psychiatry & Neurology | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2005-11-16 |
| 1720511058 | Mainstreet Pediatrics | Pediatrics | 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138-8880 | 2017-04-04 |
| 1043633647 | Pediatric and Adolescent Medicine Associates PC | Clinic/Center | 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138-8880 | 2014-02-03 |
| 1659632040 | Jaime Lynn Fell | Physician Assistant | 9235 Crown Crest Blvd, 100, Parker, CO 80138-8880 | 2012-06-02 |
| 1801119383 | Janae Ila Haycock | Nurse Practitioner | 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138-8880 | 2010-03-11 |
| 1861635666 | Sarah Elizabeth Smith | Physician Assistant | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2009-04-09 |
| 1124276688 | Rocky Mountain Fertility Lab | Clinical Medical Laboratory | 9235 Crown Crest Blvd, Suite 250, Parker, CO 80138 | 2008-09-08 |
| 1457518680 | Jeffrey K Tamsing | Psychiatry & Neurology | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2008-05-16 |
| 1457557191 | Kathryn Ann Polovitz | Internal Medicine | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2007-06-21 |
| 1538280466 | Neurology of The Rockies, LLC | Psychiatry & Neurology | 9235 Crown Crest Blvd, Suite 200, Parker, CO 80138-8880 | 2007-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306443718 | Douglas County Christian Counseling Inc. | Counselor | 9030 Miller Road, Parker, CO 80138 | 2020-10-08 |
| 1568081198 | Dr. Trathen & Associates, PC | Clinic/Center | 19284 Cottonwood Dr., Suite 202, Parker, CO 80138 | 2020-04-14 |
| 1427601228 | Mendalyn Berry | Counselor | 19751 Mainstreet, Suite 395, Parker, CO 80138 | 2019-07-20 |
| 1366925349 | Deborah Kolker Mastin | Social Worker | 19753 E. Pikes Peak Ave, Parker, CO 80138 | 2018-09-14 |
| 1861988131 | Premere Rehab LLC | Occupational Therapist | 19160 Cottonwood Dr, Parker, CO 80138 | 2018-07-10 |
| 1043737315 | Ponderosa Counseling Center LLC | Nurse Practitioner | 19753 E Pikes Peak Ave, Suite 202, Parker, CO 80138 | 2017-08-27 |
| 1942674502 | Brittany Caitlin Peters | Occupational Therapist | 12169 S Hidden Trail Ct, Parker, CO 80138 | 2015-11-19 |
| 1548650799 | Robyn Looze | Social Worker | 19563 East Mainstreet Suite, 204, Parker, CO 80138 | 2015-01-27 |
| 1013328426 | Dena Dobbs | Dietitian, Registered | 9397 Crown Crest Blvd, Suite 440, Parker, CO 80138 | 2014-05-20 |
| 1811322092 | Aba At Legacy | Behavioral Analyst | 19751 E. Mainstreet Ste. 215, Parker, CO 80138 | 2013-09-06 |
| Find all providers in zip 80138 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770134827 | Megan Echternacht | Nurse Practitioner | 9235 Crown Crest Blvd Ste 100, Parker, CO 80138-8881 | 2019-09-20 |
| 1568920221 | Lindsey Rex | Nurse Practitioner | 9235 Crown Crest Blvd Ste 100, Parker, CO 80138-8881 | 2019-03-12 |
| 1023534245 | Dongsun Shin | Nurse Practitioner | 9235 Crown Crest Blvd Ste 100, Parker, CO 80138-8881 | 2017-08-18 |
| 1801119383 | Janae Ila Haycock | Nurse Practitioner | 9235 Crown Crest Blvd, Suite 100, Parker, CO 80138-8880 | 2010-03-11 |
| 1861725012 | Julia Claire Durr | Nurse Practitioner | 10371 Park Glenn Way, Ste #100, Parker, CO 80138 | 2009-09-04 |
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| 1144832981 | 4 Corners Children's Clinic | Nurse Practitioner | 555 Rivergate Ste B1-109, Durango, CO 81301-7473 | 2020-08-22 |
| 1922630995 | Ashley Ruth Lahman | Nurse Practitioner | 162 Tartan Dr, Johnstown, CO 80534-7429 | 2020-02-07 |
| 1912543778 | Lauren Wollenzin | Nurse Practitioner | 3548 Dexter Ct, Denver, CO 80207-1050 | 2019-11-26 |
| 1386209294 | Rachel Unruh | Nurse Practitioner | 4880 Thompson Pkwy # 116, Johnstown, CO 80534-6409 | 2019-05-06 |
| 1083186407 | Megan Brady | Nurse Practitioner | 454 S Lafayette St, Denver, CO 80209-2501 | 2018-12-24 |
| 1093299679 | Brittany Michele Nielsen | Nurse Practitioner | 9141 Grant St Ste 115, Thornton, CO 80229 | 2018-09-19 |
| 1073010922 | Amanda Aung | Nurse Practitioner | 7240 Trione Ln, Fountain, CO 80817-2805 | 2018-04-08 |
| 1245737279 | Rebecca A Somershoe | Nurse Practitioner | 8200 E Belleview Ave Ste 510e, Greenwood Village, CO 80111-2808 | 2018-04-06 |
| 1629596168 | Alaina C Vargas | Nurse Practitioner | 502 Ludwig Drive, Bayfield, CO 81122 | 2017-09-05 |
| 1629592803 | Karly Yingst | Nurse Practitioner | 1516 Morning Glow Dr, Windsor, CO 80550 | 2017-07-31 |
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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.