MICHAEL K CHISM II


Address: 14221 E 4th Ave Ste 2-126, Aurora, CO 80011-8735
Phone: 7205074779

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).

Provider Overview

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

Taxonomy

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

Other Providers MICHAEL CHISM

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

Office Location

Street Address 14221 E 4TH AVE STE 2-126
City AURORA
State CO
Zip Code 80011-8735

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City AURORA
Zip Code 80011

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Dataset Information

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.

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