JACI KAYLA CORLISS (NPI# 1154970937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154970937 |
| Entity Type | Individual |
| Full Name | JACI KAYLA CORLISS |
| Credential | LPN, CNA |
| Practice Address |
700 Centre Ave Fort Collins CO 80526-2023 |
| Mailing Address |
4856 Innovation Dr Ste B Fort Collins CO 80525-5540 |
| Practice Telephone | 9704944200 |
| Mailing Telephone | 9704944200 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | PN.0335643 | CO | Nursing Service Providers |
| Street Address |
700 CENTRE AVE |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124089883 | Roshan Fair | Counselor | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2006-03-31 |
| 1427657030 | Morgan Nicole Melton | Counselor | 700 Centre Ave, Fort Collins, CO 80526-1842 | 2020-10-23 |
| 1851909477 | Angela Conly | Counselor | 700 Centre Ave, Fort Collins, CO 80526-1842 | 2020-07-20 |
| 1801417084 | Summitstone Health Partners | Clinic/Center | 700 Centre Ave, Fort Collins, CO 80526-1842 | 2020-04-29 |
| 1174155493 | Ashleigh Jones | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2020-02-05 |
| 1255961082 | Deborah Chen | Counselor | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2020-01-21 |
| 1659917110 | Leah Marie Parker | Registered Nurse | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-11-20 |
| 1730723347 | Jonathon Leigh Dean | Case Manager/Care Coordinator | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-11-06 |
| 1306488846 | Corina Haley Miller | Peer Specialist | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-10-16 |
| 1497396329 | Natalie Jacquez Quinones | Counselor | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2019-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548481963 | Helen Adele Becker-tensley | Licensed Practical Nurse | Hartshorn Health Services Csu Campus, Fort Collins, CO 80523-6004 | 2007-05-02 |
| 1154759181 | Liza Marcelo | Licensed Practical Nurse | Colorado State University, Hartshorn Health Service, Fort Collins, CO 80523-0001 | 2013-10-30 |
| 1497963557 | Valeri Hauser | Licensed Practical Nurse | 700 Centre Ave, Fort Collins, CO 80526-2023 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741816 | Conny Jones | Licensed Practical Nurse | 4519 Fencer Rd, Colorado Springs, CO 80911-3619 | 2019-10-12 |
| 1851941009 | Debra Fritts | Licensed Practical Nurse | 5700 Dtc Pkwy Ste 170, Greenwood Village, CO 80111-3226 | 2019-09-18 |
| 1699336354 | Sally J Daigle | Licensed Practical Nurse | 3811 S Julian St, Denver, CO 80236-6103 | 2019-06-24 |
| 1083273528 | Kyandra Ogunlowo | Licensed Practical Nurse | 6466 N Espana Ct, Aurora, CO 80019-2169 | 2019-06-09 |
| 1194388827 | Kelly Fitzharris | Licensed Practical Nurse | 9777 S Yosemite St Ste 200, Lone Tree, CO 80124-3115 | 2019-04-18 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1134687676 | Mary Lou Montez | Licensed Practical Nurse | 3501 S. Main St., Lamar, CO 81052 | 2019-03-04 |
| 1356810550 | Roy Jackson Baker | Licensed Practical Nurse | 521 Rowe Ln, Colorado Springs, CO 80911-2624 | 2018-11-16 |
| 1649749847 | Rachel Woodin | Licensed Practical Nurse | 5360 N Academy Blvd Ste 190, Colorado Springs, CO 80918-4006 | 2018-11-16 |
| 1396214607 | Ana M. Sandoval | Licensed Practical Nurse | 6303 Wadsworth Bypass, Suite 100, Arvada, CO 80003 | 2018-11-15 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
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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.