MARY KATHERINE BRUCHANSKI (NPI# 1336417708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336417708 |
| Entity Type | Individual |
| Full Name | MARY KATHERINE BRUCHANSKI |
| Credential | CPNP |
| Practice Address |
3555 Lutheran Pkwy Ste 200 Wheat Ridge CO 80033-6027 |
| Mailing Address |
1699 S Trenton St Unit 142 Denver CO 80231-5605 |
| Practice Telephone | 7202843700 |
| Mailing Telephone | 7739108570 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
NP-990248 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3555 LUTHERAN PKWY STE 200 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942251228 | Candace Lillian Direzza | Physician Assistant | 3555 Lutheran Pkwy Ste 200, Wheat Ridge, CO 80033-6027 | 2006-05-12 |
| 1013566553 | Elizabeth Laporte | Nurse Practitioner | 3555 Lutheran Pkwy Ste 200, Wheat Ridge, CO 80033-6027 | 2019-09-07 |
| 1427425180 | Stephanie Palmer Leblanc | Physician Assistant | 3555 Lutheran Pkwy Ste 200, Wheat Ridge, CO 80033-6027 | 2015-08-28 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013566553 | Elizabeth Laporte | Nurse Practitioner | 3555 Lutheran Pkwy Ste 200, Wheat Ridge, CO 80033-6027 | 2019-09-07 |
| 1477115764 | Kali Elizabeth Kouanchao | Nurse Practitioner | 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033-6039 | 2019-07-08 |
| 1497062467 | Barbara Calo | Nurse Practitioner | 3555 Lutheran Pkwy, Suite 200, Wheat Ridge, CO 80033-6021 | 2010-09-10 |
| 1023330297 | Kelly Chasin | Nurse Practitioner | 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033-6039 | 2010-02-15 |
| 1063744357 | Melanie Ruth Sida | Nurse Practitioner | 3555 Lutheran Pkwy, Wheat Ridge, CO 80033-6021 | 2010-02-11 |
| 1922330406 | Cynthia Lynne Nugent | Nurse Practitioner | 3555 Lutheran Pkwy, 340, Wheat Ridge, CO 80033-6021 | 2010-02-08 |
| 1437216033 | Sandra Jeanne Symes-gilbert | Nurse Practitioner | 6055 W 46th Ave, Wheat Ridge, CO 80033 | 2007-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832981 | 4 Corners Children's Clinic | Nurse Practitioner | 555 Rivergate Ste B1-109, Durango, CO 81301-7473 | 2020-08-22 |
| 1922630995 | Ashley Ruth Lahman | Nurse Practitioner | 162 Tartan Dr, Johnstown, CO 80534-7429 | 2020-02-07 |
| 1912543778 | Lauren Wollenzin | Nurse Practitioner | 3548 Dexter Ct, Denver, CO 80207-1050 | 2019-11-26 |
| 1386209294 | Rachel Unruh | Nurse Practitioner | 4880 Thompson Pkwy # 116, Johnstown, CO 80534-6409 | 2019-05-06 |
| 1083186407 | Megan Brady | Nurse Practitioner | 454 S Lafayette St, Denver, CO 80209-2501 | 2018-12-24 |
| 1093299679 | Brittany Michele Nielsen | Nurse Practitioner | 9141 Grant St Ste 115, Thornton, CO 80229 | 2018-09-19 |
| 1073010922 | Amanda Aung | Nurse Practitioner | 7240 Trione Ln, Fountain, CO 80817-2805 | 2018-04-08 |
| 1245737279 | Rebecca A Somershoe | Nurse Practitioner | 8200 E Belleview Ave Ste 510e, Greenwood Village, CO 80111-2808 | 2018-04-06 |
| 1629596168 | Alaina C Vargas | Nurse Practitioner | 502 Ludwig Drive, Bayfield, CO 81122 | 2017-09-05 |
| 1629592803 | Karly Yingst | Nurse Practitioner | 1516 Morning Glow Dr, Windsor, CO 80550 | 2017-07-31 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.