STACEY L BEDNARZ (NPI# 1265754162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265754162 |
| Entity Type | Individual |
| Full Name | STACEY L BEDNARZ |
| Credential | CPNP |
| Practice Address |
4900 East Kentucky Ave Denver CO 80246 |
| Mailing Address |
4814 East Kentucky Ave Unit F Denver CO 80246 |
| Practice Telephone | 3037560101 |
| Mailing Telephone | 5176480595 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
10170 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4900 EAST KENTUCKY AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
| 1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
| 1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
| 1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
| Find all providers in zip 80246 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543778 | Lauren Wollenzin | Nurse Practitioner | 3548 Dexter Ct, Denver, CO 80207-1050 | 2019-11-26 |
| 1083186407 | Megan Brady | Nurse Practitioner | 454 S Lafayette St, Denver, CO 80209-2501 | 2018-12-24 |
| 1477934982 | Mary Brugger | Nurse Practitioner | 3344 Decatur St, Denver, CO 80211-3240 | 2015-06-11 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| 1073953246 | Patricia Lynne Cullen | Nurse Practitioner | 3333 Regis Blvd. (g-8), Denver, CO 80221-1099 | 2013-07-02 |
| 1730453549 | Bianca Mcclammy | Nurse Practitioner | 4545 East 9th Avenue, Suite 260, Denver, CO 80220 | 2012-02-27 |
| 1548550908 | Pediatric Effective Elimination Program Clinic & Consulting, PC | Nurse Practitioner | 999 18th Street, 3000, Denver, CO 80202 | 2011-04-19 |
| 1972770287 | Amy Ann Campbell | Nurse Practitioner | 4500 E 9th Ave Ste 300, Denver, CO 80220-3922 | 2008-05-15 |
| 1346330255 | Lynn Howe Gilbert | Nurse Practitioner | 3447 W 64th Ave, Denver, CO 80221-2163 | 2006-10-13 |
| 1780614750 | Kimberly A. Baumann | Nurse Practitioner | 635 N Nc 16 Business Hwy, Denver, NC 28037-7574 | 2006-07-04 |
| Find all providers in DENVER | ||||
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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.