SOUTH METRO MENTAL HEALTH LLC (NPI# 1336787068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336787068 |
Entity Type | Organization |
Organization Name | SOUTH METRO MENTAL HEALTH LLC |
Practice Address |
7752 Elmwood St Littleton CO 80125-8828 |
Practice Telephone | 3035947544 |
Enumeration Date | 2019-12-12 |
Last Update Date | 2020-02-24 |
Authorized Official Name | ANNA MICHELLE LIBBY (OWNER) |
Authorized Official Telephone | 3035947544 |
Authorized Official Credential | PMHNP-BC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | South Metro Mental Health LLC | 7752 Elmwood St, Littleton, CO 80125 |
Street Address |
7752 ELMWOOD ST |
City | LITTLETON |
State | CO |
Zip Code | 80125-8828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205168622 | Anna Michelle Libby | Nurse Practitioner | 7752 Elmwood St, Littleton, CO 80125-8828 | 2010-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598233637 | Poudre Valley Medical Group, LLC | Clinic/Center | 8155 Piney River, Suite 100, Littleton, CO 80125 | 2018-11-07 |
1447327002 | Dawn Beata Barrowman | Nurse Practitioner | 12257 S. Wadsworth Blvd, Littleton, CO 80125 | 2006-11-29 |
1396839635 | Kalindi Batra | Family Medicine | 8155 Piney River Avenue, Littleton, CO 80125 | 2006-10-03 |
1497209019 | Jeff Anderson | Specialist/Technologist, Other | 9517 Bighorn Way, Littleton, CO 80125 | 2016-08-11 |
1962587592 | Jason Guy | Physician Assistant | 8155 Piney River Avenue, Littleton, CO 80125 | 2006-10-25 |
1063463248 | Rocky Mountain Pediatric Anesthesiology,pc | Anesthesiology | 7880 Galileo Way, Littleton, CO 80125 | 2006-05-13 |
1609482546 | Amy Brundage Kinkade | Registered Nurse | 8095 Galileo Way, Littleton, CO 80125-1813 | 2020-09-16 |
1427603547 | Katherine Moore Groat | Occupational Therapist | 7833 Galileo Way, Littleton, CO 80125-1873 | 2019-08-06 |
1477174696 | Tandem Community Care LLC | Home Health | 7833 Galileo Way, Littleton, CO 80125-1873 | 2020-04-28 |
1821637141 | Tandem Care and Wellness LLC | Clinic/Center | 7833 Galileo Way, Littleton, CO 80125-1873 | 2020-01-03 |
Find all providers in zip 80125 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407471774 | Meditelecare of Colorado LLC | Nurse Practitioner | 1900 W Littleton Blvd, Littleton, CO 80120-2023 | 2020-06-12 |
1538706122 | Mile High Psychiatry LLC | Nurse Practitioner | 8089 S Lincoln St Ste 207, Littleton, CO 80122-2720 | 2019-12-03 |
1336425982 | Richard David Wallis | Nurse Practitioner | 6507 S Santa Fe Dr Bldg 22, Littleton, CO 80120-2910 | 2011-10-27 |
1205168622 | Anna Michelle Libby | Nurse Practitioner | 7752 Elmwood St, Littleton, CO 80125-8828 | 2010-02-10 |
1881845881 | Carla Jean Farris | Nurse Practitioner | 1950 W Littleton Blvd Unit 117, Littleton, CO 80120-2000 | 2008-10-08 |
1265583975 | Wendy Dearborn Parker | Nurse Practitioner | 442 King Street, Littleton Counseling Associates, Littleton, MA 01460 | 2007-01-16 |
1942387493 | Mary Sue Stuart | Nurse Practitioner | 5500 S Sycamore St., Littleton, CO 80120-8201 | 2006-11-01 |
1730181272 | Linda Pearson | Nurse Practitioner | 191 E Orchard Rd, Littleton, CO 80121-8000 | 2005-08-15 |
1932710365 | Sarah Stockham Johnson | Nurse Practitioner | 8 W Dry Creek Cir Ste 207, Littleton, CO 80120-8082 | 2020-08-10 |
1275151250 | Katherine Frances Sabella Racine | Nurse Practitioner | 6507 S Santa Fe Dr, Littleton, CO 80120-2910 | 2020-07-07 |
Find all providers in LITTLETON |
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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.