CHEYENNE ROSE EDMONSON (NPI# 1134602683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134602683 |
| Entity Type | Individual |
| Full Name | CHEYENNE ROSE EDMONSON |
| Credential | EDMOCH |
| Practice Address |
14500 E 33rd Pl Aurora CO 80011-1206 |
| Practice Telephone | 3039622270 |
| Practice Fax Number | 3039622280 |
| Mailing Telephone | 3039622270 |
| Mailing Fax Number | 3039622280 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
14500 E 33RD PL |
| City | AURORA |
| State | CO |
| Zip Code | 80011-1206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235551383 | Josie Shea | Rehabilitation Counselor | 14500 E 33rd Pl, Aurora, CO 80011-1206 | 2014-01-08 |
| 1235661976 | Kenneth Swiney | Counselor | 14500 E 33rd Pl, Aurora, CO 80011-1206 | 2017-03-31 |
| 1740646173 | Kevin Raymond Fitch | Counselor | 14500 E 33rd Pl, Aurora, CO 80011-1206 | 2016-01-14 |
| 1730571423 | Yolanda Innis | Case Manager/Care Coordinator | 14500 E 33rd Pl, Aurora, CO 80011-1206 | 2015-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417590985 | Trang-anh Thuy Do | Pharmacist | 1600 E. Centretech Parkway, Aurora, CO 80011 | 2019-10-28 |
| 1003372137 | Nickes Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 365 N. Telluride St., Buckley Afb, Aurora, CO 80011 | 2019-02-13 |
| 1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
| 1841783230 | Gabrielle Carmely | Counselor | 16380 E 14th Place, Aurora, CO 80011 | 2018-06-11 |
| 1376049866 | Olusegun Joseph Ogundele | Counselor | 791 Chamber Zone 3rd Floor, Aurora, CO 80011 | 2018-04-03 |
| 1750883567 | Mikiyas Fessha Tegen | Non-emergency Medical Transport (VAN) | 501 Evanston Court, Aurora, CO 80011 | 2018-03-07 |
| 1124528005 | Happy and Smile Home Care | Home Health | 14221 E 4th Ave Ste 221, Aurora, CO 80011 | 2018-02-16 |
| 1902313240 | Dp Assisting | Specialist/Technologist, Other | 1279 Salem St., Aurora, CO 80011 | 2018-01-09 |
| 1548788219 | Lisa Chan | Dietitian, Registered | 17890 E. Steamboat Ave, Building 35, Aurora, CO 80011 | 2017-09-01 |
| 1154851962 | Tania Chanae Anderson | Counselor | 14500 E 33rd Place, Aurora, CO 80011 | 2017-06-14 |
| Find all providers in zip 80011 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508474222 | Nathaniel Richard Saddler Jr. | Peer Specialist | 715 Joseph Dr, Aurora, OH 44202-5601 | 2020-07-20 |
| 1336759315 | Yvette Dey | Peer Specialist | 715 Joseph Dr, Aurora, OH 44202-5601 | 2020-08-05 |
| 1780244004 | David Patrick Anthony Raby | Peer Specialist | 2206 Victor St, Aurora, CO 80045-7400 | 2019-06-18 |
| 1285298786 | Kathy Cruse Tiger | Peer Specialist | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-04-30 |
| 1164982468 | Hilda Lorena Miranda | Peer Specialist | 11059 E Bethany Dr Ste 101, Aurora, CO 80014-2617 | 2019-03-22 |
| 1245790542 | Gracia Maria Deras | Peer Specialist | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-03-22 |
| 1962962266 | Angelica Calderon De Polanco | Peer Specialist | 11059 E Bethany Dr Ste 101, Aurora, CO 80014-2617 | 2019-03-22 |
| 1740740554 | Brenda Guillen | Peer Specialist | 11059 E Bethany Dr Ste 101, Aurora, CO 80014-2617 | 2019-03-20 |
| 1811457633 | Maria D Zubiate | Peer Specialist | 11059 E Bethany Dr Ste 101, Aurora, CO 80014-2617 | 2019-03-20 |
| 1164982989 | Maria Sanchez | Peer Specialist | 11059 E Bethany Dr Ste 101, Aurora, CO 80014-2617 | 2019-03-20 |
| Find all providers in AURORA | ||||
Please comment or provide details below to improve the information on CHEYENNE ROSE EDMONSON.
| 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.