AMBER J MODZELEWSKI (NPI# 1114543766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114543766 |
| Entity Type | Individual |
| Full Name | AMBER J MODZELEWSKI |
| Credential | AGACNP-BC |
| Practice Address |
677 S Colorado Blvd Ste 100 Denver CO 80246-8019 |
| Mailing Address |
6738 W 79th Cir Arvada CO 80003-2209 |
| Practice Telephone | 7207440666 |
| Mailing Telephone | 7347783697 |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0995561 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0995561 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
677 S COLORADO BLVD STE 100 |
| City | DENVER |
| State | CO |
| Zip Code | 80246-8019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487094470 | Eric J David | Physical Therapist | 677 S Colorado Blvd Ste 100, Denver, CO 80246 | 2013-07-05 |
| 1164030284 | Taylor Leigh Albrecht | Acupuncturist | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2020-07-14 |
| 1386268969 | Brian Allen Burghart | Nurse Practitioner | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2020-05-30 |
| 1811510944 | Annie Floyd | Nurse Practitioner | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2020-05-23 |
| 1770132599 | Mountain Health and Wellness Pllc | Clinic/Center | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2019-09-04 |
| 1457911315 | Allicen Maier | Acupuncturist | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2019-06-13 |
| 1629536941 | Jessica Mariah Glahn | Acupuncturist | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2019-03-05 |
| 1609344225 | Cross Wellness | Clinic/Center | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2018-11-13 |
| 1346725298 | Colleen Wysocki | Dietitian, Registered | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2018-09-26 |
| 1528541901 | Starfish Wellness LLC | Clinic/Center | 677 S Colorado Blvd Ste 100, Denver, CO 80246-8019 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
| 1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
| 1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
| 1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
| Find all providers in zip 80246 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799477 | Christopher Todd Hassinger | Nurse Practitioner | 3237 Osceola St, Denver, CO 80212-1741 | 2020-10-30 |
| 1831702612 | Christopher Ireland | Nurse Practitioner | 4545 Long Cove Dr, Denver, NC 28037-5437 | 2020-08-31 |
| 1982214136 | John Middleton Lariviere | Nurse Practitioner | 1375 Trenton St, Denver, CO 80220-3330 | 2020-08-03 |
| 1730797127 | Anne Elizabeth Kintop | Nurse Practitioner | 723 Steele St, Denver, CO 80206-3942 | 2020-07-21 |
| 1942824537 | Kimberly A Jones | Nurse Practitioner | 3210 N Franklin St, Denver, CO 80205-3903 | 2020-05-30 |
| 1114556297 | Abigail Patricia Doherty | Nurse Practitioner | 3201 Shoshone St Unit 204, Denver, CO 80211-3487 | 2020-04-02 |
| 1275171902 | Allison Lee Sebastian | Nurse Practitioner | 4362 Depew St, Denver, CO 80212-7305 | 2019-12-12 |
| 1962968156 | Denise Ellis | Nurse Practitioner | 1355 Jersey St, Denver, CO 80220-2649 | 2019-02-13 |
| 1225542897 | Leslie Heguy | Nurse Practitioner | 777 Bannock St Mc 7782, Denver, CO 80204-4507 | 2017-11-18 |
| 1871948331 | Jennifer Weibel-mckee | Nurse Practitioner | 1920 N High St, Denver, CO 80218-1213 | 2016-05-03 |
| Find all providers in DENVER | ||||
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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.