CARLA YOUNG (NPI# 1164768164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164768164 |
Entity Type | Individual |
Full Name | CARLA YOUNG |
Credential | LCMT |
Practice Address |
151 E. Bennett Ave. Cripple Creek CO 80813 |
Mailing Address |
Po Box 555 Victor CO 80860-0555 |
Practice Telephone | 7196893502 |
Mailing Telephone | 7196893502 |
Enumeration Date | 2012-12-19 |
Last Update Date | 2012-12-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 11831 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | STATE | #MT11831 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811061294 | Carla Sue Young | Specialist | 2018 Jackson Dr, Vincennes, IN 47591-5921 | 2006-11-20 |
1093315145 | Carla Young | Behavior Technician | 19615 Liverpool Pkwy Ste B, Cornelius, NC 28031-4075 | 2020-10-28 |
1306399142 | Carla Young | Case Manager/Care Coordinator | 380 Suwannee Trail St, Bowling Green, KY 42103-7956 | 2016-07-28 |
1497837496 | Carla L Young | Physical Medicine & Rehabilitation | 1600 W College St, Suite 685, Grapevine, TX 76051-3580 | 2006-10-19 |
Street Address |
151 E. BENNETT AVE. |
City | CRIPPLE CREEK |
State | CO |
Zip Code | 80813 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629608427 | Southwest Teller County Emergency Medical Services | Ambulance | 147 East Bennett Avenue, Cripple Creek, CO 80813 | 2020-01-21 |
1043756133 | Amy Terry | Registered Nurse | 308 East Eaton Ave, Cripple Creek, CO 80813 | 2017-01-12 |
1093174930 | Alessandra Marie Bullis | Nurse Practitioner | 412 N C St, Cripple Creek, CO 80813 | 2016-02-21 |
1144685918 | Aspenpointe Inc Dba Aspenpointe Health Services | Clinic/Center | 166 E Bennett Ave, Cripple Creek, CO 80813 | 2015-12-22 |
1487968244 | Nicole Leadley | Dentist | 1101 Teller County Road 1, Cripple Creek, CO 80813 | 2010-08-03 |
1457514036 | Kurt A Wever Md PC | Family Medicine | 1101 Teller County Rd 1, Cripple Creek, CO 80813 | 2008-07-03 |
1497800668 | Southwest Teller County Emergency Medical Services | Ambulance | 147 E. Bennett Avenue, Cripple Creek, CO 80813 | 2007-01-25 |
1306819453 | Robert Paul Reid | Family Medicine | 1101 County Rd 1, Cripple Creek, CO 80813 | 2006-02-09 |
1184614828 | Lorraine Gwen Grube | Physician Assistant | 412 North C Street, Cripple Creek, CO 80813 | 2005-10-25 |
1437765195 | Catholic Health Initiatives Colorado | Internal Medicine | 1101 Teller County Rd 1, Cripple Creek, CO 80813 | 2020-09-18 |
Find all providers in zip 80813 |
Taxonomy Code | 225700000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Massage Therapist |
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306799 | Krista Denovellis | Massage Therapist | 3785 Grove St, Denver, CO 80211-2746 | 2020-11-06 |
1841891074 | Kristen Gutierrez | Massage Therapist | 6270 Lehman Dr Ste 250, Colorado Springs, CO 80918-1450 | 2020-11-04 |
1043810229 | Rae Marie Minear | Massage Therapist | 1075 S Yukon St Ste 340, Lakewood, CO 80226-4333 | 2020-10-28 |
1447850565 | Ashley Marie Dinkel | Massage Therapist | 3218 Lake Park Way Apt 102, Longmont, CO 80503-7805 | 2020-10-28 |
1003416579 | Sarah Wells | Massage Therapist | 1314 Jersey St, Denver, CO 80220-2650 | 2020-10-26 |
1831799337 | Denise Michele Archer | Massage Therapist | 10852 W 67th Pl, Arvada, CO 80004-2741 | 2020-10-26 |
1629677190 | Brittany Adele Labauve | Massage Therapist | 1396 Flannagan Ct, Erie, CO 80516-6941 | 2020-10-25 |
1811596406 | Richard Allen Enocksen II | Massage Therapist | 5551 29th St Unit 715, Greeley, CO 80634-8326 | 2020-10-23 |
1962001222 | Carrie Wilkerson | Massage Therapist | 10564 Cherry St, Thornton, CO 80233-4539 | 2020-10-19 |
1073112397 | Elizabeth Lamphere | Massage Therapist | 1743 Glenwood Dr, Fort Collins, CO 80526-1554 | 2020-10-19 |
Find all providers with the same taxonomy |
City | CRIPPLE CREEK |
Zip Code | 80813 |
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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.