ALICIA HENNESSEE (NPI# 1174176457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174176457 |
| Entity Type | Individual |
| Full Name | ALICIA HENNESSEE |
| Credential | FNP, AGACNP |
| Practice Address |
5799 Stetson Hills Blvd Colorado Springs CO 80917-4223 |
| Practice Telephone | 7194712273 |
| Mailing Telephone | 7194712273 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2020-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0994777 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
0994777 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5799 STETSON HILLS BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568445922 | Pete E Payton | Physician Assistant | 5799 Stetson Hills Blvd, Colorado Springs, CO 80917-4223 | 2005-11-21 |
| 1306396726 | Falecia Rader | Nurse Practitioner | 5799 Stetson Hills Blvd, Ste 100, Colorado Springs, CO 80917-4223 | 2016-10-10 |
| 1255785515 | Shannon Rodriguez | Nurse Practitioner | 5799 Stetson Hills Blvd, Colorado Springs, CO 80917-4223 | 2016-04-22 |
| 1578948022 | Benjamin Korf | Physician Assistant | 5799 Stetson Hills Blvd, Colorado Springs, CO 80917-4223 | 2015-07-27 |
| 1033512892 | Front Range Urgent Care | Durable Medical Equipment & Medical Supplies | 5799 Stetson Hills Blvd, Colorado Springs, CO 80917-4223 | 2014-10-07 |
| 1528328234 | American Injury Solutions | Neuromusculoskeletal Medicine & OMM | 5799 Stetson Hills Blvd, Suite 100, Colorado Springs, CO 80917-4223 | 2012-05-29 |
| 1396059184 | Comfort Care Family Practice PC | Family Medicine | 5799 Stetson Hills Blvd, Colorado Springs, CO 80917-4222 | 2010-08-04 |
| 1457665713 | Front Range Urgent Care, PC | Family Medicine | 5799 Stetson Hills Blvd, Colorado Springs, CO 80917-4222 | 2010-07-28 |
| 1104047612 | Bruce Alan Chaney | Physician Assistant | 5799 Stetson Hills Blvd, Colorado Springs, CO 80917-4223 | 2007-05-01 |
| 1154365302 | Steven Luke Wenrich | Family Medicine | 5799 Stetson Hills Blvd, Ste 100, Colorado Springs, CO 80917-4222 | 2006-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492929 | Melanie Fleur Sandoval | Nurse Practitioner | 2212 Red Edge Hts, Colorado Springs, CO 80921-7227 | 2019-11-19 |
| 1376981191 | Latrina Shavon Yarbrough | Nurse Practitioner | 2010 Phillips Aly, Colorado Springs, CO 80910-4525 | 2013-06-14 |
| 1134726391 | Christopher Coram | Nurse Practitioner | 75 Printers Pkwy, Colorado Springs, CO 80910-3151 | 2020-10-01 |
| 1760095301 | Laura Marie Dunn | Nurse Practitioner | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-08-24 |
| 1205458478 | Alethea Tafoya | Nurse Practitioner | 2222 N Nevada Ave Ste 4004, Colorado Springs, CO 80907-6832 | 2020-05-11 |
| 1356980304 | Carissa Shea | Nurse Practitioner | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2019-12-21 |
| 1376184853 | Ashley Danielle Fry | Nurse Practitioner | 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 | 2019-10-04 |
| 1356992192 | Hiwot Gebeye | Nurse Practitioner | 2920 N Cascade Ave Ste 300, Colorado Springs, CO 80907-6262 | 2019-09-24 |
| 1336616945 | Jennifer N Campbell | Nurse Practitioner | 1633 Medical Center Pt, Colorado Springs, CO 80907-5700 | 2018-11-01 |
| 1659856722 | Melissa J Rockhold | Nurse Practitioner | 2502 E Pikes Peak Ave, Colorado Springs, CO 80909-6033 | 2018-09-25 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
Please comment or provide details below to improve the information on ALICIA HENNESSEE.
| 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.