MRS. ALESSANDRA MARIE BULLIS (NPI# 1093174930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093174930 |
Entity Type | Individual |
Full Name | MRS. ALESSANDRA MARIE BULLIS |
Credential | FNP-C |
Practice Address |
412 N C St Cripple Creek CO 80813 |
Mailing Address |
5799 Stetson Hills Blvd Colorado Springs CO 80917-4223 |
Practice Telephone | 7197764310 |
Practice Fax Number | 7197764320 |
Mailing Telephone | (719) 471-2273 |
Mailing Fax Number | 7193800228 |
Enumeration Date | 2016-02-21 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LF0000X |
Nurse Practitioner Specialization: Family |
992190 | CO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0177189 | CO | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
5799 Stetson Hills Blvd, Colorado Springs, CO 809174223 | 7194712273 | 7193800228 |
Street Address |
412 N C ST |
City | CRIPPLE CREEK |
State | CO |
Zip Code | 80813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821600313 | Catholic Health Initiatives Colorado | Family Medicine | 412 N C St, Cripple Creek, CO 80813-5052 | 2020-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629608427 | Southwest Teller County Emergency Medical Services | Ambulance | 147 East Bennett Avenue, Cripple Creek, CO 80813 | 2020-01-21 |
1043756133 | Amy Terry | Registered Nurse | 308 East Eaton Ave, Cripple Creek, CO 80813 | 2017-01-12 |
1144685918 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 166 E Bennett Ave, Cripple Creek, CO 80813 | 2015-12-22 |
1164768164 | Carla Young | Massage Therapist | 151 E. Bennett Ave., Cripple Creek, CO 80813 | 2012-12-19 |
1487968244 | Nicole Leadley | Dentist | 1101 Teller County Road 1, Cripple Creek, CO 80813 | 2010-08-03 |
1457514036 | Kurt A Wever Md PC | Family Medicine | 1101 Teller County Rd 1, Cripple Creek, CO 80813 | 2008-07-03 |
1497800668 | Southwest Teller County Emergency Medical Services | Ambulance | 147 E. Bennett Avenue, Cripple Creek, CO 80813 | 2007-01-25 |
1306819453 | Robert Paul Reid | Family Medicine | 1101 County Rd 1, Cripple Creek, CO 80813 | 2006-02-09 |
1184614828 | Lorraine Gwen Grube | Physician Assistant | 412 North C Street, Cripple Creek, CO 80813 | 2005-10-25 |
1437765195 | Catholic Health Initiatives Colorado | Internal Medicine | 1101 Teller County Rd 1, Cripple Creek, CO 80813 | 2020-09-18 |
Find all providers in zip 80813 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952334989 | Linda Marie Hewett | Nurse Practitioner | 412 North C Street, Cripple Creek, CO 80813 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
1508466855 | Cassandra Elizabeth Saad | Nurse Practitioner | 4024 S Rifle Way, Aurora, CO 80013-3240 | 2020-10-27 |
1992304471 | Amanda Michelle Heibult | Nurse Practitioner | 22047 E Ridge Trail Dr, Aurora, CO 80016-2668 | 2020-10-26 |
1407455157 | Faith Emma Olson | Nurse Practitioner | 2550 Winding River Dr Unit C1, Broomfield, CO 80023-6545 | 2020-10-23 |
1932708872 | Carla E Paredes Diaz | Nurse Practitioner | 2215 South Dr, Pueblo, CO 81008-1755 | 2020-10-21 |
1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
1902405038 | Rosalind Daninger | Nurse Practitioner | 1390 S Potomac St Ste 128, Aurora, CO 80012-4529 | 2020-10-20 |
1548869860 | Colleen R Newvine | Nurse Practitioner | 2831 W 133rd Ave, Broomfield, CO 80020-5263 | 2020-10-19 |
1598364952 | Shannon Elena Mckenna | Nurse Practitioner | 3047 Lawrence St, Denver, CO 80205-2317 | 2020-10-17 |
Find all providers with the same taxonomy |
City | CRIPPLE CREEK |
Zip Code | 80813 |
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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.