BRIELLE SMITH


Address: 3555 Lutheran Pkwy, Suite 340, Wheat Ridge, CO 80033-6021
Phone: 3039966005

BRIELLE SMITH (NPI# 1043663248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043663248
Entity Type Individual
Full Name BRIELLE SMITH
Credential PA-C
Practice Address 3555 Lutheran Pkwy
Suite 340
Wheat Ridge
CO 80033-6021
Practice Telephone 3039966005
Mailing Telephone 3039966005
Enumeration Date 2016-07-22
Last Update Date 2016-07-22
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA.0004700 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3555 LUTHERAN PKWY
SUITE 340
City WHEAT RIDGE
State CO
Zip Code 80033-6021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831194463 Caroline Teresa Thramann Pediatrics 3555 Lutheran Pkwy, Ste 340, Wheat Ridge, CO 80033-6039 2005-06-20
1043747900 Pediatric Dental Group of Wheat Ridge Dentist 3555 Lutheran Pkwy, Suite 310, Wheat Ridge, CO 80033-6021 2017-05-22
1295015261 Rose Shehan Registered Nurse 3555 Lutheran Pkwy, 180, Wheat Ridge, CO 80033-6021 2011-08-23
1932499761 Yamini Bear Rao Pediatrics 3555 Lutheran Pkwy, #340, Wheat Ridge, CO 80033-6021 2011-04-13
1497062467 Barbara Calo Nurse Practitioner 3555 Lutheran Pkwy, Suite 200, Wheat Ridge, CO 80033-6021 2010-09-10
1184940884 Michael A. Tralla M.d., P.C. Specialist 3555 Lutheran Pkwy, Ste 160, Wheat Ridge, CO 80033-6017 2010-04-20
1104148097 Pamela Fae Penrose Physician Assistant 3555 Lutheran Pkwy, Ste 340, Wheat Ridge, CO 80033-6021 2010-02-19
1063744357 Melanie Ruth Sida Nurse Practitioner 3555 Lutheran Pkwy, Wheat Ridge, CO 80033-6021 2010-02-11
1144552571 Jaimes Ellen Vail Physician Assistant 3555 Lutheran Pkwy, Suite 340, Wheat Ridge, CO 80033-6021 2010-02-10
1922330406 Cynthia Lynne Nugent Nurse Practitioner 3555 Lutheran Pkwy, 340, Wheat Ridge, CO 80033-6021 2010-02-08
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154893915 Bronwyn Hockersmith Counselor 3954 Yosemite St, Wheat Ridge, CO 80033 2018-12-18
1902392004 Thousand Peaks Healthcare, Inc. In Home Supportive Care 4891 Independence St Ste 285, Wheat Ridge, CO 80033 2018-07-02
1528586120 Front Range Family Resource Center Marriage & Family Therapist 5181 Ward St Ste 201, Wheat Ridge, CO 80033 2017-09-03
1962920918 Dianna Lee Cordero Counselor 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 2017-08-30
1396261525 Lauren Faye Petasne Nurse Practitioner 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 2017-08-18
1558802421 Elizabeth Ann Huddleston Nurse Practitioner 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 2017-03-13
1053777045 Richard Kerry Brandow Counselor 16625 W 50th Ave., Golden, CO 80033 2016-01-07
1831562131 Eternal Life Care Centers, LLC Assisted Living Facility 4370 Ingalls Street, Wheat Ridge, CO 80033 2015-11-09
1740663483 Real Care, Inc. Private Vehicle 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 2015-06-30
1508254848 Pamela June Weitzel Midwife 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 2015-01-08
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285886887 Erik W Fedor Physician Assistant 3550 Lutheran Parkway, Suite 200, Wheat Ridge, CO 80033 2008-10-15
1942251228 Candace Lillian Direzza Physician Assistant 3555 Lutheran Pkwy Ste 200, Wheat Ridge, CO 80033-6027 2006-05-12
1912900267 Talia Ann Hofmann Physician Assistant 8550 W 38th Ave, Ste 202, Wheat Ridge, CO 80033-4342 2005-05-31
1902429939 Alison Shea Selcer Physician Assistant 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 2020-05-26
1609327493 Melissa Marie Fountain Physician Assistant 7821 W 38th Ave, Wheat Ridge, CO 80033-6109 2016-10-17
1073998936 Emma Ann Olson Physician Assistant 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 2015-07-21
1922404623 Glen O Moore Physician Assistant 4803 Ward Rd, Wheat Ridge, CO 80033-1902 2014-11-07
1720494420 Mari Sara Volkmar Physician Assistant 7495 W 29th Ave, Wheat Ridge, CO 80033-8002 2014-07-02
1962820480 Meryl Stacey Wolff Physician Assistant 7821 W 38th Ave, Wheat Ridge, CO 80033-6109 2014-04-01
1023446994 Stephanie Missey Rozier Physician Assistant 7495 W 29th Ave, Wheat Ridge, CO 80033-8002 2013-10-31
Find all providers in WHEAT RIDGE

Competitor

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City WHEAT RIDGE
Zip Code 80033

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Dataset Information

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.

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