SPRINGBOK HEALTH INC. (NPI# 1386038545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386038545 |
| Entity Type | Organization |
| Organization Name | SPRINGBOK HEALTH INC. |
| Practice Address |
1318 W Colorado Ave Colorado Springs CO 80904-4023 |
| Practice Telephone | 7197668511 |
| Practice Fax Number | 7192087731 |
| Mailing Telephone | 7197668511 |
| Mailing Fax Number | 7192087731 |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | MR. MARK JANKELOW (OWNER/NP) |
| Authorized Official Telephone | 7197668511 |
| Authorized Official Credential | NP |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NPI INDIV | 1487958070 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Springbok Health Inc | 1318 W Colorado Ave, Colorado Springs, CO 80904 |
| Street Address |
1318 W COLORADO AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80904-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427175553 | Jane Y Anderson | Chiropractor | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2007-03-23 |
| 1073121943 | Ashley Benally-ross | Nurse Practitioner | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2020-07-16 |
| 1881109189 | Charles Richard Dagnillo | Clinical Nurse Specialist | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2017-12-08 |
| 1144604372 | Natalie Jessica Jankelow | Registered Nurse | 1318 W Colorado Ave, Colorado Springs, CO 80904 | 2015-07-17 |
| 1487958070 | Mark Jankelow | Nurse Practitioner | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2010-12-22 |
| 1336391838 | Beth Ann Thomas | Massage Therapist | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2008-10-15 |
| 1558482398 | William D Anderson | Chiropractor | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1770131971 | Jill Case Brown | Technician | 3002 W. Kiowa St., Colorado Springs, CO 80904 | 2019-08-30 |
| 1457888232 | Marcia W. Soule Dobson | Counselor | 3510 Temple Drive, Colorado Springs, CO 80904 | 2017-05-11 |
| 1184163610 | Home Healthcare Staffing Solutions Inc | Home Health | 3117 Chambers Way, Colorado Springs, CO 80904 | 2017-02-16 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1639595382 | Jessyca Sonia Sterner | Counselor | 2514 Colorado Ave, Suite 200, Colorado Springs, CO 80904 | 2014-03-05 |
| 1508291956 | Diane Chisesi | Anesthesiology | 2517 B. King Street, Colorado Springs, CO 80904 | 2013-09-04 |
| 1124363635 | Piotr Bieniek | Physical Therapy Assistant | 1133 Adams Dr, Colorado Springs, CO 80904 | 2012-12-10 |
| 1235480526 | Barry G. Zile | Physical Therapy Assistant | 1685 S. 21st Street, Colorado Springs, CO 80904 | 2012-09-26 |
| 1326397076 | Christie Sheffer | Midwife | 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 | 2012-09-09 |
| Find all providers in zip 80904 | ||||
| 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 |
|---|---|---|---|---|
| 1760009617 | Tiffany Taylor | Nurse Practitioner | 4729 Opus Dr, Colorado Springs, CO 80906-8694 | 2020-06-26 |
| 1053953786 | Eileen Deitsch | Nurse Practitioner | 5353 N Union Blvd Ste 201a, Colorado Springs, CO 80918-2065 | 2019-10-15 |
| 1043796949 | Erin Lee Recinos | Nurse Practitioner | 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 | 2018-07-13 |
| 1114460979 | Alison Shapiro, Inc | Nurse Practitioner | 2020 W Colorado Ave Ste 206, Colorado Springs, CO 80904-3882 | 2016-11-28 |
| 1518376391 | Kady Williams | Nurse Practitioner | 2906 Beacon St Ste A, Colorado Springs, CO 80907-6193 | 2014-08-06 |
| 1437593894 | Lewis Wesley Swarthout Jr. | Nurse Practitioner | 615 S Nevada Ave, Colorado Springs, CO 80903-4005 | 2013-04-29 |
| 1366713679 | Psychiatric Services LLC | Nurse Practitioner | 730 Blackhawk Dr, Colorado Springs, CO 80919-1123 | 2012-01-18 |
| 1407123581 | Elena Mikhailovna Z Ollis | Nurse Practitioner | 3207 N Academy Blvd Ste 3300, Colorado Springs, CO 80917-5100 | 2011-11-17 |
| 1225352479 | Mountain Oasis Psychiatric Associates | Nurse Practitioner | 7305 Chancellor Dr, Colorado Springs, CO 80920-7150 | 2010-03-17 |
| 1053642728 | Kathy L Myatt | Nurse Practitioner | 630 Southpointe Ct Ste 104, Colorado Springs, CO 80906 | 2010-01-20 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80904 |
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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.