THE LITTLE CLINIC OF COLORADO LLC (NPI# 1366049173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366049173 |
| Entity Type | Organization |
| Organization Name | THE LITTLE CLINIC OF COLORADO LLC |
| Practice Address |
13700 Colorado Blvd Thornton CO 80602-7024 |
| Mailing Address |
Po Box 932958 Cleveland OH 44193-0028 |
| Practice Telephone | 3034514250 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MARC ROBERT WATKINS (CMO) |
| Authorized Official Telephone | 6154254221 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000165350 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312498 | The Little Clinic of Colorado LLC | Physician Assistant | 12959 S Parker Rd, Parker, CO 80134-3447 | 2020-10-08 |
| 1588261374 | The Little Clinic of Colorado LLC | Physician Assistant | 17761 Cottonwood Dr, Parker, CO 80134-3925 | 2020-10-05 |
| 1023615820 | The Little Clinic of Colorado LLC | Physician Assistant | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2020-10-05 |
| 1275130072 | The Little Clinic of Colorado LLC | Physician Assistant | 1750 W Uintah St, Colorado Springs, CO 80904-2926 | 2020-10-05 |
| 1538766340 | The Little Clinic of Colorado LLC | Physician Assistant | 5544 Promenade Pkwy, Castle Rock, CO 80108-1903 | 2020-10-05 |
| 1700483500 | The Little Clinic of Colorado LLC | Physician Assistant | 12167 Sheridan Blvd, Broomfield, CO 80020-2417 | 2020-10-05 |
| 1598362394 | The Little Clinic of Colorado LLC | Physician Assistant | 2100 35th Ave, Greeley, CO 80634-3910 | 2020-10-05 |
| 1043817844 | The Little Clinic of Colorado LLC | Physician Assistant | 3620 Austin Bluffs Pkwy, Colorado Springs, CO 80918-6631 | 2020-10-05 |
| 1861099673 | The Little Clinic of Colorado LLC | Physician Assistant | 2810 Quebec St, Denver, CO 80207-2900 | 2020-10-05 |
| 1679170484 | The Little Clinic of Colorado LLC | Physician Assistant | 1842 N College Ave, Fort Collins, CO 80524-1323 | 2020-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | The Little Clinic of Colorado LLC | 1014 Vine Street, Cincinnati, OH 45202 |
| Street Address |
13700 COLORADO BLVD |
| City | THORNTON |
| State | CO |
| Zip Code | 80602-7024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942245618 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 13700 Colorado Blvd, Thornton, CO 80602 | 2006-06-18 |
| 1720562333 | Tavia Lee Gabbert | Nurse Practitioner | 13700 Colorado Blvd, Thornton, CO 80602-7024 | 2018-09-19 |
| 1306369731 | Elizabeth Roebuck | Nurse Practitioner | 13700 Colorado Blvd, Thornton, CO 80602-7024 | 2017-07-18 |
| 1336690593 | Julie Schwent | Nurse Practitioner | 13700 Colorado Blvd, Thornton, CO 80602-7024 | 2016-10-21 |
| 1679917884 | Amanda Kilen | Pharmacist | 13700 Colorado Blvd, Thornton, CO 80602-7024 | 2013-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736810 | Advanced Heart and Vein Center Inc | Internal Medicine | 805 E 144th Avenue, Suite 100, Thornton, CO 80602 | 2020-10-06 |
| 1427521509 | Kids Mile High Thornton Pllc | Dentist | 7375 E. 128th Ave, Thornton, CO 80602 | 2019-01-10 |
| 1336637701 | Rachel Paige Bruening | Behavior Technician | 13443 Tamarac Pl, Thornton, CO 80602 | 2018-05-01 |
| 1053865758 | Mckay Stott Pearson | Dentist | 3662 E 141st Pl, Thornton, CO 80602 | 2016-08-10 |
| 1902265382 | Colorado Dental Professionals, LLC | Dentist | 12889 Quebec Street, Thornton, CO 80602 | 2016-02-15 |
| 1851788384 | Cheryl Ann Kirkland | Technician | 7523 E 130th Cir., Thornton, CO 80602 | 2015-04-22 |
| 1467722405 | Christie Lynn Kraeger | Social Worker | 2717 E 139th Place, Thornton, CO 80602 | 2012-01-09 |
| 1457635328 | Bindu Kurien | Pharmacist | 13611 N.colorado Blvd, Thornton, CO 80602 | 2011-10-10 |
| 1891092664 | Catholic Health Initiatives Colorado | Family Medicine | 13691 Colorado Blvd., Suite 106, Thornton, CO 80602 | 2011-02-14 |
| 1740401306 | Lori Louise Ross | Speech-Language Pathologist | 13844 Jackson Street, Thornton, CO 80602 | 2007-05-01 |
| Find all providers in zip 80602 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659982221 | Alicia Von Rivenburgh | Nurse Practitioner | 3155 E 104th Ave Unit 6a, Thornton, CO 80233-4231 | 2020-08-16 |
| 1942826136 | Corina Lohrman | Nurse Practitioner | 12973 Hudson St, Thornton, CO 80241-2339 | 2020-06-23 |
| 1952756934 | Transitional Care Specialists | Nurse Practitioner | 23 Blue Heron Dr, Thornton, CO 80241-1995 | 2016-04-27 |
| 1689604696 | Deborah Lane Wagus | Nurse Practitioner | 8990 Washington St, Thornton, CO 80229-4537 | 2006-07-04 |
| 1275174385 | Casondra Rankin | Nurse Practitioner | 9195 Grant St Ste 410, Thornton, CO 80229-4388 | 2019-10-01 |
| 1023679628 | Jennifer A Fischer | Nurse Practitioner | 1700 W 100th Ave, Thornton, CO 80260-5982 | 2019-06-25 |
| 1720562333 | Tavia Lee Gabbert | Nurse Practitioner | 13700 Colorado Blvd, Thornton, CO 80602-7024 | 2018-09-19 |
| 1306369731 | Elizabeth Roebuck | Nurse Practitioner | 13700 Colorado Blvd, Thornton, CO 80602-7024 | 2017-07-18 |
| 1508306143 | Krystal L Starnes | Nurse Practitioner | 4075 E 128th Ave, Thornton, CO 80241-2201 | 2017-03-01 |
| 1538605159 | Brianne Marie Hogue | Nurse Practitioner | 4075 E 128th Ave, Thornton, CO 80241-2201 | 2017-01-07 |
| Find all providers in THORNTON | ||||
Please comment or provide details below to improve the information on THE LITTLE CLINIC OF COLORADO LLC.
| 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.