THE LITTLE CLINIC OF COLARADO LLC (NPI# 1235736026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235736026 |
| Entity Type | Organization |
| Organization Name | THE LITTLE CLINIC OF COLARADO LLC |
| Practice Address |
3400 Youngfield St Wheat Ridge CO 80033-5245 |
| Mailing Address |
Po Box 932958 Cleveland OH 44193-0028 |
| Practice Telephone | 3034596545 |
| Mailing Telephone | 8888522567 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MARC ROBERT WATKINS (CMO) |
| Authorized Official Telephone | 6154254221 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000165171 | 05 |
| Street Address |
3400 YOUNGFIELD ST |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-5245 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659307122 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3400 Youngfield St, Wheat Ridge, CO 80033 | 2006-06-24 |
| 1699122903 | Lauren Nachbar | Nurse Practitioner | 3400 Youngfield St, Wheat Ridge, CO 80033-5245 | 2016-05-17 |
| 1598100778 | William Grego | Pharmacist | 3400 Youngfield St, Wheat Ridge, CO 80033-5245 | 2013-05-01 |
| 1114360500 | Karen Anton | Pharmacist | 3400 Youngfield St, Wheat Ridge, CO 80033-5245 | 2013-04-16 |
| 1003110024 | Doctor's Hearing Care, Inc. | Audiologist-Hearing Aid Fitter | 3400 Youngfield St, Unit 28b, Wheat Ridge, CO 80033-5245 | 2011-01-05 |
| 1194746545 | April Marie Clark | Nurse Practitioner | 3400 Youngfield St, Wheat Ridge, CO 80033-5245 | 2006-07-21 |
| 1396770319 | Deborah Branson | Registered Nurse | 3400 Youngfield St, (inside King Soopers), Wheat Ridge, CO 80033-5245 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467013011 | Kristen Noel Kirkpatrick | Nurse Practitioner | 3555 Lutheran Pkwy Ste 150, Wheat Ridge, CO 80033-6036 | 2019-06-25 |
| 1821587908 | Jolene Lyn Nawrocki | Nurse Practitioner | 5790 W 39th Place, Wheat Ridge, CO 80212 | 2018-05-04 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1326391640 | Christine Marie Kanka | Nurse Practitioner | 3555 Lutheran Pkwy Ste 380, Wheat Ridge, CO 80033-6023 | 2012-10-24 |
| 1477885259 | Dena Christine Rose | Nurse Practitioner | 4990 Kipling St Ste B-5, Wheat Ridge, CO 80033-6762 | 2010-02-04 |
| 1790395879 | David Mcqueen | Nurse Practitioner | 6301 W 38th Ave, Wheat Ridge, CO 80033-5057 | 2020-08-04 |
| 1699385922 | Kelly Sotir | Nurse Practitioner | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2020-08-02 |
| 1811514383 | Lauren Pennartz | Nurse Practitioner | 10900 W 44th Ave, Wheat Ridge, CO 80033-2761 | 2020-07-01 |
| 1396371944 | Christi Burks | Nurse Practitioner | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2020-03-16 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on THE LITTLE CLINIC OF COLARADO LLC.
| 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.