AMY RENEE BRODEUR (NPI# 1376026336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376026336 |
Entity Type | Individual |
Full Name | AMY RENEE BRODEUR |
Credential | FNP |
Practice Address |
2930 11th Ave Evans CO 80620-1011 |
Practice Telephone | 9703504606 |
Practice Fax Number | 9703504645 |
Mailing Telephone | 9703504606 |
Mailing Fax Number | 9703504645 |
Enumeration Date | 2018-09-14 |
Last Update Date | 2018-09-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 994120 | CO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
2930 11TH AVE |
City | EVANS |
State | CO |
Zip Code | 80620-1011 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164424354 | Leonard Alexander Lowe Jr. | Emergency Medicine | 2930 11th Ave, Evans, CO 80620-1011 | 2005-06-01 |
1386250843 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2020-09-21 |
1639780760 | Cassandra Bigley | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-08-12 |
1558993170 | Kelly Dineen Scott-kitzman | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-02-11 |
1851930663 | Sunrise Community Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2019-12-26 |
1942843743 | Emily E Wright | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-24 |
1053953232 | Hannah Constantin | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-09 |
1134695745 | Sarah Elizabeth Curzon | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-22 |
1881160638 | Krista Gail Jones | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-19 |
1194202218 | Dennise Estefania Salazar | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-07-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932734605 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd Ave, Evans, CO 80620 | 2020-03-03 |
1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
1295980233 | Joshua Woodland | Optometrist | 3247 23rd Ave., (inside Sams Club), Evans, CO 80620 | 2008-11-18 |
1619125903 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3247 23rd Avenue, Evans, CO 80620 | 2008-08-29 |
1699300020 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd St, Evans, CO 80620 | 2020-03-05 |
1316430812 | Niki Avery Pediatric Pt LLC | Physical Therapist | 1050 37th St, Evans, CO 80620 | 2018-06-08 |
1013548866 | Envision Creative Support for People With Developmental Disabilities | Respite Care | 1050 37th Street, Evans, CO 80620-0069 | 2020-01-30 |
1760922827 | Shanea Barickman | Home Health Aide | 3222 11th Ave, 313, Evans, CO 80620-1545 | 2017-03-08 |
1013429695 | Malama Ohana LLC | Home Health | 3222 11th Ave Apt 313, Evans, CO 80620-1546 | 2017-11-03 |
1154578961 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 3247 23rd Ave, Evans, CO 80620-1733 | 2008-08-22 |
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Taxonomy Code | 363L00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029443 | Cierra L Gladden | Nurse Practitioner | 312 Club House Dr, Evans, WV 25241-8055 | 2020-10-08 |
1821645623 | Sarah Michelle Freer | Nurse Practitioner | 512 Oconee Cir, Evans, GA 30809-7090 | 2019-08-26 |
1558993170 | Kelly Dineen Scott-kitzman | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-02-11 |
1588208813 | Catherine Sasser | Nurse Practitioner | 902 Ponder Place Ct, Evans, GA 30809-3115 | 2019-10-30 |
1760960629 | Lauren M Lewis Hebert | Nurse Practitioner | 902 Ponder Place Ct, Evans, GA 30809-3115 | 2018-08-02 |
1992251367 | Elizabeth Sewczak | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2016-08-26 |
1003298274 | Ashley Nix | Nurse Practitioner | 447 N Belair Rd Ste 101, Evans, GA 30809-3091 | 2015-06-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285235952 | Che Pimentel | Nurse Practitioner | 16067 6030 Rd, Montrose, CO 81403-9609 | 2020-11-08 |
1720689789 | Noco New Beginnings | Nurse Practitioner | 1019 39th Ave Ste J, Greeley, CO 80634-2501 | 2020-11-05 |
1144827825 | Krs Health LLC | Nurse Practitioner | 3362 Dovetail Dr, Berthoud, CO 80513-8931 | 2020-10-06 |
1508471772 | Anne Judd | Nurse Practitioner | 7114 Avondale Rd, Fort Collins, CO 80525-8210 | 2020-09-14 |
1891300950 | Autumn Albert | Nurse Practitioner | 1295 Kelly Johnson Blvd Ste 110, Colorado Springs, CO 80920-3978 | 2020-09-14 |
1295349462 | Katherine Pedersen | Nurse Practitioner | 3827 N Lafayette St, Denver, CO 80205-3339 | 2020-09-03 |
1255944922 | Melissa Mathern | Nurse Practitioner | 7818 S Hill Cir, Littleton, CO 80120-4320 | 2020-08-24 |
1902416233 | Aja Danielle Petracca-lennon | Nurse Practitioner | 1044 Diamond Rim Dr, Colorado Springs, CO 80921-8429 | 2020-08-02 |
1245849637 | Stacy Shomo | Nurse Practitioner | 1688 Valley Oak Ct, Castle Rock, CO 80104-2211 | 2020-07-30 |
1376151902 | Victoria Marie Rallens | Nurse Practitioner | 316 N 3rd Ave, Sterling, CO 80751-3110 | 2020-07-20 |
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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.