NATALIE MANNON IBRAHIM (NPI# 1285173203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285173203 |
| Entity Type | Individual |
| Full Name | NATALIE MANNON IBRAHIM |
| Other Name | NATALIE MARIE MANNON |
| Credential | PA-C |
| Practice Address |
30940 Stagecoach Blvd, Ste E290 Elk Ridge Family Physicians, Inc Evergreen CO 80439 |
| Practice Telephone | 3036748153 |
| Practice Fax Number | 3036748303 |
| Mailing Telephone | 3036748153 |
| Mailing Fax Number | 3036748303 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0004763 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30940 STAGECOACH BLVD, STE E290 ELK RIDGE FAMILY PHYSICIANS, INC |
| City | EVERGREEN |
| State | CO |
| Zip Code | 80439 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386134351 | Mary Elizabeth Pruet | Speech-Language Pathologist | 26284 Grand Summit Trl, Evergreen, CO 80439 | 2018-05-15 |
| 1821511031 | Marie Ann St. Denis | Acupuncturist | 27919 Alabraska Lane, Evergreen, CO 80439 | 2017-07-19 |
| 1801330923 | Leah Black | Dietitian, Registered | 2952 Conifer Circle, Evergreen, CO 80439 | 2016-12-08 |
| 1831640291 | Bear Creek Mental Health LLC | Community/Behavioral Health | 4911 Plettner Ln, Ste 210, Evergreen, CO 80439 | 2016-10-20 |
| 1164971974 | Animal-assisted Therapy of The Mountain Communities | Counselor | 28000 Meadow Dr Suite 105, Evergreen, CO 80439 | 2016-09-22 |
| 1093191793 | Jennifer Schreiber | Occupational Therapist | 1659 Stoneham Lane, Evergreen, CO 80439 | 2015-08-04 |
| 1366879371 | Victoria Carleen Bown | Physical Therapist | 32003 Ellingwood Trail, Evergreen, CO 80439 | 2013-10-04 |
| 1235563867 | Sharon Bland Morgan | Registered Nurse | 5435 So. Twinspruce Rd., Evergreen, CO 80439 | 2013-08-30 |
| 1720429129 | Lorna Mary Cochrane | Behavioral Analyst | 7345 Heiter Hill Dr., Evergreen, CO 80439 | 2013-07-13 |
| 1962847244 | Todd B. Wisser | Internal Medicine | 30940 Stage Coach Blvd., Ste 270e, Evergreen, CO 80439 | 2013-05-01 |
| Find all providers in zip 80439 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871518 | Emily Tracy | Physician Assistant | 172 Siesta Cir, Evergreen, CO 80439-4339 | 2020-11-05 |
| 1003055260 | Lea Lanni Buck | Physician Assistant | 30960 Stagecoach Blvd Ste 120, Evergreen, CO 80439-7902 | 2009-02-11 |
| 1255406468 | Randall F Sclar | Physician Assistant | 28000 Meadow Dr #210, Evergreen, CO 80439 | 2006-11-22 |
| 1679171482 | Kelly Hoose | Physician Assistant | 30960 Stagecoach Blvd, Evergreen, CO 80439-7902 | 2020-10-14 |
| 1194033902 | Troy Gavin Freedman | Physician Assistant | 32214 Ellingwood Trl, Suite 210, Evergreen, CO 80439-9779 | 2010-09-15 |
| 1407813447 | Mary Norine Arnold | Physician Assistant | 30940 Stagecoach Blvd, Suite E290, Evergreen, CO 80439-7984 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234914 | Austin Ethridge | Physician Assistant | 22101 County Road 22, Hudson, CO 80642-9514 | 2020-10-30 |
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1386244895 | Cheyenne M Zurfluh | Physician Assistant | 1301 Lory St, Fort Collins, CO 80524-4213 | 2020-10-26 |
| 1043819576 | Patrick Ryan Murphy | Physician Assistant | 1160 Sandstone Dr, Vail, CO 81657-4408 | 2020-10-26 |
| 1114527652 | Li Ashley Lim | Physician Assistant | 132 W B St Apt 3k, Pueblo, CO 81003-3446 | 2020-10-26 |
| 1477152957 | Erin Lynn Hellerstedt | Physician Assistant | 766 S Martin St Apt C222, Longmont, CO 80501-6493 | 2020-10-26 |
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1750980298 | Rachel Wolfe | Physician Assistant | 38 Qualla Ct, Boulder, CO 80303-3900 | 2020-10-24 |
| 1255930897 | Lee Finley-blasi | Physician Assistant | 841 Atwood St, Longmont, CO 80501-5020 | 2020-10-24 |
| 1891394334 | Robert Clower | Physician Assistant | 285 Zang St Apt I2832, Lakewood, CO 80228-1032 | 2020-10-24 |
| 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.