SUE MENDEZ (NPI# 1114004553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114004553 |
| Entity Type | Individual |
| Full Name | SUE MENDEZ |
| Credential | NP |
| Practice Address |
4863 N Nevada Ave Colorado Springs CO 80918-3951 |
| Mailing Address |
3205 N Academy Blvd 130 Colorado Springs CO 80917-5147 |
| Practice Telephone | 7196325700 |
| Mailing Telephone | 7196325700 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2015-11-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 041206751/209002 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICARE NUMBER | 445636YKRD | 01 |
| Street Address |
4863 N NEVADA AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918-3951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336136340 | Robert A. Cadigan | Internal Medicine | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2005-10-04 |
| 1700429198 | Patrick Murphy | Social Worker | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2019-10-18 |
| 1164933578 | Megan Mavety | Nurse Practitioner | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2017-10-12 |
| 1821510678 | Mary Ann Kates | Registered Nurse | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2017-07-13 |
| 1801331087 | University of Colorado At Colorado Springs | Dietitian, Registered | 4863 N Nevada Ave, Colorado Springs, CO 80918 | 2016-12-27 |
| 1245774876 | Nuwanee Kirihennedige | Dietitian, Registered | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2016-12-16 |
| 1477097137 | Frances Treat | Dietitian, Registered | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2016-12-14 |
| 1437582061 | Ursula Charlton | Social Worker | 4863 N Nevada Ave, Colorado Springs, CO 80918-3951 | 2013-08-19 |
| 1982963633 | Lisa Hains Barker | Clinical Neuropsychologist | 4863 N Nevada Ave, Suite 380, Colorado Springs, CO 80918-3951 | 2012-05-15 |
| 1730446568 | Claire Mademann | Dietitian, Registered | 4863 N Nevada Ave, 136, Colorado Springs, CO 80918-3951 | 2012-04-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300950 | Autumn Albert | Nurse Practitioner | 1295 Kelly Johnson Blvd Ste 110, Colorado Springs, CO 80920-3978 | 2020-09-14 |
| 1902416233 | Aja Danielle Petracca-lennon | Nurse Practitioner | 1044 Diamond Rim Dr, Colorado Springs, CO 80921-8429 | 2020-08-02 |
| 1558907220 | Jocelyn Reeves | Nurse Practitioner | 818 E Caramillo St, Colorado Springs, CO 80907-7704 | 2019-11-18 |
| 1558911966 | Sara D Campbell | Nurse Practitioner | 607 N Foote Ave, Colorado Springs, CO 80909-4503 | 2019-09-17 |
| 1841842291 | Lux Injectables, LLC | Nurse Practitioner | 4135 New Santa Fe Trl, Colorado Springs, CO 80924-4406 | 2019-07-15 |
| 1912564725 | Colasanto Partners, LLC | Nurse Practitioner | 3445 Limber Pine Ct, Colorado Springs, CO 80920-2407 | 2019-05-28 |
| 1598277220 | Deirdre Raquel Wolf | Nurse Practitioner | 218 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3720 | 2017-11-03 |
| 1720598881 | Danielle Jackson-tross | Nurse Practitioner | 5475 Tech Center Dr, Colorado Springs, CO 80919-2335 | 2017-10-03 |
| 1043754880 | Alethea Hoewisch | Nurse Practitioner | 4110 Briargate Pkwy Ste 465, Colorado Springs, CO 80920-7839 | 2016-12-13 |
| 1619337854 | Jean Schwartz | Nurse Practitioner | 1901 N Union Blvd Ste 105, Colorado Springs, CO 80909-7200 | 2016-03-01 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
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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.