MS. LAURA BETH HUNDEMANN (NPI# 1386919793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386919793 |
Entity Type | Individual |
Full Name | MS. LAURA BETH HUNDEMANN |
Credential | PA-C |
Practice Address |
2919 Valmont Rd Ste 204 Boulder CO 80301-1350 |
Mailing Address |
2919 Valmont Rd # 204 Boulder CO 80301-1350 |
Practice Telephone | 3039381110 |
Practice Fax Number | 3039381145 |
Mailing Telephone | 3039381110 |
Mailing Fax Number | 3039381145 |
Enumeration Date | 2012-03-19 |
Last Update Date | 2020-09-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3395 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 70073040 | 05 |
Street Address |
2919 VALMONT RD STE 204 |
City | BOULDER |
State | CO |
Zip Code | 80301-1350 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
Find all providers in zip 80301 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356326888 | Alison Merser Moore | Physician Assistant | 1949 Pearl St, Boulder, CO 80302-4496 | 2005-12-07 |
1184175952 | Reed P Fischer | Physician Assistant | 1755 48th St Ste 200, Boulder, CO 80301-2712 | 2016-10-17 |
1366802035 | Rachel Morr | Physician Assistant | 2525 13th St, Boulder, CO 80304-4104 | 2016-02-24 |
1386918977 | Jennifer Lau Stanzel | Physician Assistant | 4745 Arapahoe Ave, Suite 110, Boulder, CO 80303-1080 | 2012-02-29 |
1417268970 | Zachary D Kahn | Physician Assistant | 2750 Broadway St, Boulder, CO 80304-3573 | 2010-06-29 |
1770812588 | Jonathan Ellis Welker | Physician Assistant | 4801 Riverbend Rd Ste 200, Boulder, CO 80301-2613 | 2009-12-08 |
1295068682 | Melissa J Guerri | Physician Assistant | 4745 Arapahoe Ave, #130, Boulder, CO 80303-1080 | 2009-09-16 |
1528297439 | Rebecca Jane Barnes | Physician Assistant | 805 S Broadway St, Ste 103, Boulder, CO 80305-5971 | 2009-07-13 |
1023140035 | Darrin Paul Guitreau | Physician Assistant | 4895 Riverbend Rd, Boulder, CO 80301-2640 | 2007-03-12 |
1770613838 | Jessica Elaine Moore-scheeler | Physician Assistant | 4743 Arapahoe Ave, Suite 102, Boulder, CO 80303-1123 | 2007-03-07 |
Find all providers in BOULDER |
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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.