MICHAEL K CHISM II (NPI# 1154780757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154780757 |
| Entity Type | Individual |
| Full Name | MICHAEL K CHISM II |
| Credential | PMHNP-BC |
| Practice Address |
14221 E 4th Ave Ste 2-126 Aurora CO 80011-8735 |
| Mailing Address |
15355 E Colfax Ave Unit 111717 Aurora CO 80042-1975 |
| Practice Telephone | 7205074779 |
| Practice Fax Number | 7203675067 |
| Mailing Telephone | 7205074779 |
| Mailing Fax Number | 7203675067 |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2020-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN.0992884-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770866840 | Michael T Chism | Student in an Organized Health Care Education/Training Program | 6344 S 900 E, Murray, UT 84121-2439 | 2011-09-24 |
| Street Address |
14221 E 4TH AVE STE 2-126 |
| City | AURORA |
| State | CO |
| Zip Code | 80011-8735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003355488 | Ashley Burns | Nurse Practitioner | 14221 E 4th Ave Ste 2-126, Aurora, CO 80011-8735 | 2017-02-17 |
| 1760928766 | Mile High Psychiatry LLC | Nurse Practitioner | 14221 E 4th Ave Ste 2-126, Aurora, CO 80011-8735 | 2017-01-13 |
| 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 | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678372 | Chelsey Mcfaddin | Nurse Practitioner | 14221 E 4th Ave # 2-126, Aurora, CO 80011-8735 | 2020-08-06 |
| 1871134106 | Jamie Marie Cutright | Nurse Practitioner | 14221 E 4th Ave Ste 2-330, Aurora, CO 80011-8735 | 2019-10-08 |
| 1710534409 | Billie Jo Morgan | Nurse Practitioner | 14221 E 4th Ave Unit 2-330, Aurora, CO 80011-8735 | 2019-08-19 |
| 1922570191 | Bailie Cronin Aprn LLC | Nurse Practitioner | 10939 E 25th Dr, Aurora, CO 80010-1200 | 2018-12-27 |
| 1073059259 | Kosuke Niitsu | Nurse Practitioner | 12348 East Mountview Bldv 2nd Floor, Aurora, CO 80045 | 2017-01-12 |
| 1487014338 | Kerry Ann Peterson | Nurse Practitioner | 13120 E 19th Ave # C288-5, Aurora, CO 80045-2567 | 2016-03-03 |
| 1679822530 | Mary Elizabeth Waggoner | Nurse Practitioner | 14211 E 4th Ave # 3-138, Aurora, CO 80011-8736 | 2012-09-06 |
| 1568692408 | Rachel Joanna Griffin | Nurse Practitioner | 13199 E Montview Blvd Ste 330, Mail Stop F550, Aurora, CO 80045-7209 | 2009-07-24 |
| 1851304216 | Nicole Brodrick | Nurse Practitioner | 13120 E 19th Ave, Aurora, CO 80045-2567 | 2006-08-15 |
| 1750903290 | Melissa Joy Stefanowicz | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2020-05-06 |
| Find all providers in AURORA | ||||
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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.