SIGNIFY HEALTH MEDICAL ASSOCIATES OF COLORADO, PLLC. (NPI# 1023625662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023625662 |
| Entity Type | Organization |
| Organization Name | SIGNIFY HEALTH MEDICAL ASSOCIATES OF COLORADO, PLLC. |
| Practice Address |
4055 Valley View Ln Dallas TX 75244-5074 |
| Practice Telephone | 8778685351 |
| Mailing Telephone | 8778685351 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MR. KEVIN COOPER (VP OF CLINICAL OPS) |
| Authorized Official Telephone | 4694667106 |
| Authorized Official Credential | RN, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | COLORADO SECRETARY OF STATE | 20201684431 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Signify Health Medical Associates of Colorado, PLLC | 4055 Valley View Lane, Suite 400, Dallas, TX 75244-5071 |
| Street Address |
4055 VALLEY VIEW LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75244-5074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188640 | Michael L Gregg | Radiology | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2005-07-21 |
| 1912512096 | Kaitlin M Keeney | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-09-15 |
| 1093342669 | Sabrina Patrice Butler | Registered Nurse | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-03-24 |
| 1710519442 | Yvonne Ayuk | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-02-11 |
| 1699315622 | Micki L. Hayden | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2020-01-07 |
| 1093353203 | Virgil Vapona Flint | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-12-18 |
| 1700424207 | Jennisha Uduezue | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-12-16 |
| 1114578937 | Alberto Pedraza | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-09-23 |
| 1578113619 | Kaia Luke | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-09-19 |
| 1447806112 | Rhonda T Sipe | Nurse Practitioner | 4055 Valley View Ln, Dallas, TX 75244-5074 | 2019-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316561194 | Kevin Goodnight | Behavioral Analyst | 4230 Sigma Road, Dallas, TX 75244 | 2020-06-08 |
| 1851941413 | Medi-wheels, LLC | Durable Medical Equipment & Medical Supplies | 5005 Lbj Freeway, Ste. 840, Dallas, TX 75244 | 2019-09-16 |
| 1972157436 | Samantha Lograsso | Nurse Practitioner | 4055 Valley View Ln Suite 400, Dallas, TX 75244 | 2019-08-01 |
| 1205313780 | Cherae Ashland Burton | Licensed Vocational Nurse | 4099 Mcewen Rd., Farmers Branch, TX 75244 | 2018-07-26 |
| 1700383197 | Melissa Fitts | Behavioral Analyst | 13604 Midway Rd. #180, Farmers Branch, TX 75244 | 2018-04-11 |
| 1932607983 | Vcphcs, Lp | Clinic/Center | 5001 Spring Valley Road, Suite 600 East, Dallas, TX 75244 | 2018-01-24 |
| 1518406636 | Gentech Laboratories LLC | Clinical Medical Laboratory | 4403 N. Beltwood Parkway, Suite 300, Dallas, TX 75244 | 2017-02-22 |
| 1881045680 | Innovative Lifeskills Training Center LLC | Preferred Provider Organization | 5001 Spring Valley, Towers East Ste 400, Dallas, TX 75244 | 2016-06-23 |
| 1376992792 | Lynnlie Tuschoff | Registered Nurse | 4099 Mcewen, Suite 250, Farmers Brach, TX 75244 | 2016-06-07 |
| 1609223072 | Debra Jules | Licensed Vocational Nurse | 4099 Mcewen Road, Dallas, TX 75244 | 2016-05-16 |
| Find all providers in zip 75244 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214375 | Hippomed Wellness Clinics Limited Company | Clinic/Center | 5930 Lbj Fwy Ste 380, Dallas, TX 75240-6370 | 2020-07-31 |
| 1417566415 | Bonnieview-overton Medical Clinic | Clinic/Center | 3507 Bonnie View Rd, Dallas, TX 75216-4704 | 2020-07-26 |
| 1679123632 | Equilyst LLC. | Clinic/Center | 2909 Canton St Ste C, Dallas, TX 75226-3508 | 2019-09-12 |
| 1962977355 | Resolves Healthcare Services, LLC | Clinic/Center | 5151 Belt Line Rd Ste 715, Dallas, TX 75254-7547 | 2018-10-11 |
| 1376067793 | William Parker Highland Park | Clinic/Center | 4442 Lovers Lane, Dallas, TX 75225-6923 | 2017-07-27 |
| 1851724918 | Joey D. Tran, Od Pllc | Clinic/Center | 5334 Ross Ave Ste 100, Dallas, TX 75206-7402 | 2013-08-13 |
| 1972856631 | Bridge Medical Group LLC | Clinic/Center | 4303 N Central Expy, Dallas, TX 75205-5597 | 2012-10-18 |
| 1609127000 | Lyndsay M Posey | Clinic/Center | 289 E Ellendale Ave Ste 601, Dallas, OR 97338-1570 | 2012-09-25 |
| 1780969584 | Questcare | Clinic/Center | 12221 Merit Dr Ste 1620, Dallas, TX 75251-2208 | 2011-10-13 |
| 1265664874 | Glamour Technology and Wellness | Clinic/Center | 206 S Zang Blvd, Dallas, TX 75208-4519 | 2009-08-14 |
| Find all providers in DALLAS | ||||
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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.