DR. PENNIE R. DEXTER (NPI# 1053418475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053418475 |
Entity Type | Individual |
Full Name | DR. PENNIE R. DEXTER |
Other Name | DR. PENNIE R. CARRELL DEXTER |
Credential | PH.D. |
Practice Address |
159 W. 2nd St. Nederland CO 80466 |
Mailing Address |
Po Box 1102 Keystone Counseling, LLC Nederland CO 80466-1102 |
Practice Telephone | 3036013416 |
Practice Fax Number | 3032589356 |
Mailing Telephone | 3036013416 |
Mailing Fax Number | 3032589356 |
Enumeration Date | 2006-09-20 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY2854 | CO | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | CAQH UNIVERSAL CREDENTIAL | 11572163 | 01 |
Street Address |
159 W. 2ND ST. |
City | NEDERLAND |
State | CO |
Zip Code | 80466 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962893735 | Michelle Lapointe | Acupuncturist | 80 Big Springs Dr Ste 305, Nederland, CO 80466 | 2015-02-13 |
1447681770 | Kyle Denver Epps | Speech-Language Pathologist | 34 E 1st St, Nederland, CO 80466 | 2013-12-12 |
1619120318 | Julie Barron | Counselor | 98 S Hwy 119, Nederland, CO 80466 | 2008-10-28 |
1265607477 | Carolyn B. Armstrong | Physical Therapist | 80 Shoshoni Wy, Nederland, CO 80466 | 2008-04-29 |
1871771287 | Ann T Trombley | Physical Therapist | Ann T Trombley, 781 Cougar Run, Nederland, CO 80466 | 2008-02-07 |
1629195730 | Oriental Healing Clinic Inc | Acupuncturist | 159 W Hwy 72, Nederland, CO 80466 | 2007-03-23 |
1477679017 | Michael A Camarata | Family Medicine | 20 Lakeview Drive, #204, Nederland, CO 80466 | 2007-03-22 |
1780709956 | Tracy L. Brewer | Physical Therapist | 907 County Road 126n, Nederland, CO 80466 | 2007-03-20 |
1336242783 | Columbine Family Medicine | Family Medicine | 159 Hwy 72 W, Nederland, CO 80466 | 2006-09-07 |
1427151877 | Maurice Jude Romeo Fauvel | Family Medicine | 159 Hwy 72 West, Pob 550, Nederland, CO 80466 | 2006-09-07 |
Find all providers in zip 80466 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265781645 | Jerry Don Smith Jr. | Psychologist | 208 S Twin City Hwy Ste B, Nederland, TX 77627-4201 | 2012-08-31 |
1619105079 | Ronald K Mccraw, Phd, Do, Pa | Psychologist | 2300 Highway 365, Suite 610, Nederland, TX 77627-6256 | 2009-06-24 |
1578727616 | Curtis E Wills, PC | Psychologist | 2300 Highway 365, 110, Nederland, TX 77627-6256 | 2008-07-17 |
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1508478314 | Kent Hutchison | Psychologist | 2695 Juilliard St, Boulder, CO 80305-7030 | 2020-08-21 |
1043821986 | Wendy M Cowperthwaite | Psychologist | 1720 S Bellaire St Ste 900, Denver, CO 80222-4333 | 2020-08-13 |
1184234049 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 383 W. 37th St., Ste. 104, Loveland, CO 80538 | 2020-08-05 |
1396355244 | Kidstuff Child and Family Counseling, P.C. | Psychologist | 1006 Robertson St., Ste. 120, Fort Collins, CO 80524 | 2020-08-05 |
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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.