JIM GULTOM (NPI# 1366709388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366709388 |
| Entity Type | Individual |
| Full Name | JIM GULTOM |
| Credential | LPN |
| Practice Address |
19053 E 51st Ave Denver CO 80249-8433 |
| Practice Telephone | 3033955558 |
| Mailing Telephone | 3033955558 |
| Enumeration Date | 2012-04-15 |
| Last Update Date | 2012-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 43575 | CO | Nursing Service Providers |
| Street Address |
19053 E 51ST AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80249-8433 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095939 | Scl Health Medical Group - Denver, LLC | Family Medicine | 4859 N Yampa St, Denver, CO 80249 | 2020-08-28 |
| 1962904532 | Trinity Home Health | Home Health | 20902 E 40th Pl, Denver, CO 80249 | 2018-02-28 |
| 1609309707 | Tower Modern Dental Practice, LLC | Dentist | 4998 Tower Rd, Denver, CO 80249 | 2017-04-05 |
| 1932535291 | Aarti Sharma | Pediatrics | 18620 Green Valley Ranch Blvd, Suite # 101, Denver, CO 80249 | 2013-09-18 |
| 1851739122 | Green Valley Ranch Dental Partners | Dentist | 18620 Green Valley Ranch Boulevard, Suite Number 103, Denver, CO 80249 | 2013-06-10 |
| 1255496675 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 18605 Green Valley Ranch Blvd, Denver, CO 80249 | 2006-12-26 |
| 1114953551 | Gail Marie Pace | Specialist/Technologist | 4642 Orleans St, Denver, CO 80249 | 2006-06-25 |
| 1629521760 | Kenzie Bohm | Social Worker | 4800 Telluride St, Denver, CO 80249 | 2016-07-25 |
| 1932549094 | Kendra Velasquez | Dentist | 4809 Argonne St, Suite 220, Denver, CO 80249 | 2013-07-02 |
| 1427263813 | Darren Patrick Wilcox | Physical Therapist | 8900 Pena Blvd, Dia Physical Therapy # B, Denver, CO 80249 | 2007-05-11 |
| Find all providers in zip 80249 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699336354 | Sally J Daigle | Licensed Practical Nurse | 3811 S Julian St, Denver, CO 80236-6103 | 2019-06-24 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1548611627 | Rebecca Miller | Licensed Practical Nurse | 2460 W 26th Ave Ste 217, Denver, CO 80211-5308 | 2016-06-29 |
| 1972959526 | Carla Vigil | Licensed Practical Nurse | 2460 W 29th Ave, Denver, CO 80211-4359 | 2016-05-12 |
| 1649659194 | Carlos Ramnath | Licensed Practical Nurse | 7171 E Colfax Ave Unit 208, Denver, CO 80220-1807 | 2015-05-28 |
| 1861883654 | Mary Jo Soriano Mizrachi | Licensed Practical Nurse | 19618 E 50th Dr, Denver, CO 80249-8469 | 2015-02-14 |
| 1609264423 | Donna Guzzetti | Licensed Practical Nurse | 4601 W Short Pl, Denver, CO 80204-4619 | 2014-12-31 |
| 1336556109 | Luciana Sarlo | Licensed Practical Nurse | 9468 E Florida Ave Apt 2045, Denver, CO 80247-7825 | 2014-07-14 |
| 1942634506 | Adrean Mccloud | Licensed Practical Nurse | 3451 Bellaire St, Denver, CO 80207-1832 | 2013-08-30 |
| 1659618866 | Tselot Belachew Dagne | Licensed Practical Nurse | 1171 S Chester Ct, Denver, CO 80247-2379 | 2013-01-08 |
| Find all providers in DENVER | ||||
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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.