MS. ANTWONETTE MIXON PROTHRO (NPI# 1275858334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275858334 |
Entity Type | Individual |
Full Name | MS. ANTWONETTE MIXON PROTHRO |
Credential | NCPT |
Practice Address |
4340 E Kentucky Ave Suite 462 Glendale CO 80246-2060 |
Mailing Address |
4340 E. Kentucky Avenue Suite 462 Glendale CO 80246 |
Practice Telephone | 3038151914 |
Practice Fax Number | 3038151915 |
Mailing Telephone | 3038151914 |
Mailing Fax Number | 3038151915 |
Enumeration Date | 2010-04-01 |
Last Update Date | 2010-04-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
091720 | CO | Technologists, Technicians & Other Technical Service Providers |
Street Address |
4340 E KENTUCKY AVE SUITE 462 |
City | GLENDALE |
State | CO |
Zip Code | 80246-2060 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295194876 | Rachael Britton, LLC | Physical Therapist | 4340 E Kentucky Ave, Suite 147, Glendale, CO 80246-2060 | 2016-02-11 |
1225308646 | Carolyn Ann Lucas | Massage Therapist | 4340 E Kentucky Ave, Suite 446, Glendale, CO 80246-2060 | 2012-01-02 |
1598097073 | Barbara Elaine Doucette | Chiropractor | 4340 E Kentucky Ave, Ste. 437, Glendale, CO 80246-2060 | 2010-02-08 |
1659541795 | Mile High Medical Service | Home Health | 4340 E Kentucky Ave, Suite 446, Glendale, CO 80246-2060 | 2008-03-05 |
1760608459 | Becky Riedo | Speech-Language Pathologist | 4340 E Kentucky Ave, Suite 248, Glendale, CO 80246-2060 | 2007-04-18 |
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 | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972132421 | Maryam Jalila Davis | Technician, Pathology | 5150 N 99th Ave Apt 3091, Glendale, AZ 85305-3034 | 2020-04-06 |
1508109216 | Az Home Phlebotomy Services | Technician, Pathology | 7312 N 70th Dr, Glendale, AZ 85303-2109 | 2013-04-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104438555 | Tawanda D Moss | Technician, Pathology | 10105 E. Virgina Ave. 7-108, Denver, CO 80247 | 2020-08-18 |
1831712561 | Shalonda Monique Brown | Technician, Pathology | 155 S Academy Blvd Apt 7, Colorado Springs, CO 80910-2730 | 2020-05-28 |
1780025197 | Anne Wood | Technician, Pathology | 2153 Chuckwagon Rd, Ste 101a, Colorado Springs, CO 80919-6500 | 2013-07-13 |
1003415407 | Katheryn Johnson | Technician, Pathology | 3914 Sandalwood Ln, Pueblo, CO 81005-2586 | 2020-10-19 |
1023132628 | Barbara Jane Bader | Technician, Pathology | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2007-03-19 |
Please comment or provide details below to improve the information on MS. ANTWONETTE MIXON PROTHRO.
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.