MARY JEAL CARRASCO (NPI# 1255981122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255981122 |
Entity Type | Individual |
Full Name | MARY JEAL CARRASCO |
Credential | NURSE PRACTITIONER |
Practice Address |
6850 E Evans Ave Ste 102 Denver CO 80224-2300 |
Mailing Address |
3441 E 13th Ave Denver CO 80206-2608 |
Practice Telephone | 3036915009 |
Mailing Telephone | 7209414116 |
Enumeration Date | 2019-09-12 |
Last Update Date | 2020-04-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0995405-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | N/A | NONE | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821124991 | Mary Carrasco | Pediatrics | 1515 Locust St, Pittsburgh, PA 15219-5131 | 2007-02-26 |
1083763783 | Mary J Carrasco | Counselor | 2445 E 11th St, Odessa, TX 79761-4232 | 2007-01-10 |
Street Address |
6850 E EVANS AVE STE 102 |
City | DENVER |
State | CO |
Zip Code | 80224-2300 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811522972 | Usacs Community Emergency Services of Colorado, Inc. | Emergency Medicine | 7000 E Hampden Ave, Denver, CO 80224 | 2020-03-10 |
1518507375 | Portercare Adventist Health System | Clinic/Center | 7000 E Hampden, Denver, CO 80224 | 2020-01-09 |
1700391323 | Enhanced Motion | Physical Therapist | 6795 E Tennessee Ave Ste100, Denver, CO 80224 | 2017-12-05 |
1528580172 | Abigail Ann Malman Case | Lactation Consultant, Non-RN | 6860 E Panorama Ln, Denver, CO 80224 | 2017-07-14 |
1891223251 | Ian Joseph Palombo | Counselor | 2121 S Oneida St Ste 600, Denver, CO 80224 | 2017-05-30 |
1346774346 | Lois Leder | Social Worker | 2121 S. Oneida St. #412, Denver, CO 80224 | 2017-04-17 |
1356894729 | Kimberly Margolis Inc | Social Worker | 6740 E, Hampden, Suite #307, Denver, CO 80224 | 2016-08-02 |
1992168447 | Akiva M Thomas | General Practice | 970 South Oneida Street, Suite 6, Denver, CO 80224 | 2016-04-01 |
1730545021 | Rachelle Waxman | Behavioral Analyst | 6762 E Cedar Ave, Unit B, Denver, CO 80224 | 2016-01-03 |
1568897189 | Yvonne Henderson | Counselor | 2064 S Monaco Pkwy, Denver, CO 80224 | 2013-09-13 |
Find all providers in zip 80224 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194333195 | Kaitlin Kraus | Nurse Practitioner | 820 N Sherman St Apt 213, Denver, CO 80203-2975 | 2020-07-16 |
1497221097 | Lana Eller | Nurse Practitioner | 1640 Royal Troon Ct, Denver, NC 28037-5519 | 2018-10-22 |
1447814298 | Mary Klukkert | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2019-04-26 |
1447310388 | Hilary Somers Victoroff | Nurse Practitioner | 3600 Havana St, Denver, CO 80239-3266 | 2006-12-11 |
1578621991 | Stephanie Motter | Nurse Practitioner | 4500 E. 9th Ave, #700, Denver, CO 80220 | 2006-12-05 |
1164504692 | Sheila Winters | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2006-10-20 |
1427143510 | Carol Sue Maslyn | Nurse Practitioner | 1930 S Federal Blvd, Denver, CO 80219-5501 | 2006-10-04 |
1952320616 | Marilyn Marie Lynn | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2006-07-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629679519 | Amanda Winter | Nurse Practitioner | 17657 Road 27.7, Dolores, CO 81323-8605 | 2020-11-05 |
1568078707 | William Glenn Vause | Nurse Practitioner | 1625 S Iola St Apt 107, Aurora, CO 80012-4087 | 2020-09-22 |
1215547286 | Kimberly Frances Vialpando | Nurse Practitioner | 216 S 11th St, Colorado Springs, CO 80904-4300 | 2020-08-05 |
1881204071 | Annette K Johnson | Nurse Practitioner | 13975 W Layton Cir, Morrison, CO 80465-1071 | 2020-08-03 |
1386262871 | Catherine Fenster | Nurse Practitioner | 305 Prospector Ave, Durango, CO 81301-7954 | 2020-07-10 |
1487291233 | Next Door Health Care | Nurse Practitioner | 190 S 1st St Unit A, Bennett, CO 80102-7899 | 2019-11-27 |
1871057620 | Marion Eleanor Toll | Nurse Practitioner | 1025 Garfield St Ste B, Fort Collins, CO 80524-3930 | 2019-01-25 |
1225534860 | Elizabeth Faye Kirt | Nurse Practitioner | 924 Oak St., Steamboat Springs, CO 80487 | 2018-04-03 |
1558861815 | Thrive Primary Care At Woodland Park LLC | Nurse Practitioner | 1067 Us 24, 276, Woodland Park, CO 80863 | 2018-02-13 |
1841798535 | Tree of Life Integrative Health Inc | Nurse Practitioner | 310 Judson St, Longmont, CO 80501-4815 | 2018-01-26 |
Find all providers with the same taxonomy |
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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.