NICOLE C KENYON (NPI# 1386949154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386949154 |
| Entity Type | Individual |
| Full Name | NICOLE C KENYON |
| Credential | PA |
| Practice Address |
4600 Hale Pkwy Suite 100 Denver CO 80220-4020 |
| Practice Telephone | 3033205566 |
| Practice Fax Number | 3033201453 |
| Mailing Telephone | 3033205566 |
| Mailing Fax Number | 3033201453 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2013-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA-3116 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013405653 | Nicole Victoria Kenyon | Behavioral Analyst | 602 Se Starflower Ave, Port St Lucie, FL 34983-4635 | 2018-04-30 |
| 1780811547 | Nicole Kenyon | Pharmacist | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2009-06-18 |
| 1396917803 | Nicole Germaine Kenyon | Occupational Therapist | 500 Wilbur Ave, Somerset, MA 02725-2051 | 2008-03-25 |
| Street Address |
4600 HALE PKWY SUITE 100 |
| City | DENVER |
| State | CO |
| Zip Code | 80220-4020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635193 | Susan Wonsiewicz Trout | Obstetrics & Gynecology | 4600 Hale Pkwy, Suite 350, Denver, CO 80220-4020 | 2005-08-02 |
| 1851848139 | Surgone, PC | Colon & Rectal Surgery | 4600 Hale Pkwy, Suite 430, Denver, CO 80220-4020 | 2016-09-05 |
| 1578947792 | Rankin Clinical Audiology | Audiologist | 4600 Hale Pkwy, #450, Denver, CO 80220-4020 | 2015-07-17 |
| 1033517560 | Katherine Goodin Mccarty | Physician Assistant | 4600 Hale Pkwy, Suite 330, Denver, CO 80220-4020 | 2014-12-16 |
| 1154601979 | Polly Warner | Nurse Practitioner | 4600 Hale Pkwy, Denver, CO 80220-4020 | 2011-08-24 |
| 1457653446 | Dfwc PC | Podiatrist | 4600 Hale Pkwy, Suite 440, Denver, CO 80220-4020 | 2010-11-23 |
| 1053621276 | Kirstie Jenene Taylor | Audiologist-Hearing Aid Fitter | 4600 Hale Pkwy, Ste. 450, Denver, CO 80220-4020 | 2010-10-21 |
| 1457660763 | Elaine M D'angela | Nurse Practitioner | 4600 Hale Pkwy, Suite 340, Denver, CO 80220-4020 | 2010-10-04 |
| 1962710525 | Brooke B Riddleberger | Physician Assistant | 4600 Hale Pkwy, Suite 330, Denver, CO 80220-4020 | 2010-09-16 |
| 1982920161 | Lauren May | Obstetrics & Gynecology | 4600 Hale Pkwy, Ste 400, Denver, CO 80220-4000 | 2010-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356805626 | Heather Free | Physician Assistant | 3653 N Josephine St, Denver, CO 80205-3545 | 2019-01-30 |
| 1255804910 | Jessie P Larson | Physician Assistant | 7847 Downing St, Denver, CO 80229-5961 | 2019-01-05 |
| 1174917405 | Depeche Assisting, PC | Physician Assistant | 700 Colorado Blvd Ste 115, Denver, CO 80206-4084 | 2015-03-25 |
| 1609281864 | Dayana Olivares | Physician Assistant | 1960 N Ogden St Ste 690, Denver, CO 80218-3673 | 2014-06-26 |
| 1457632697 | Rose Gabrielle Christensen | Physician Assistant | 1830 Franklin St Ste 450, Denver, CO 80218-1128 | 2011-09-01 |
| 1538459391 | Simmons Surgical Services LLC | Physician Assistant | 8007 E Lehigh Dr, Denver, CO 80237-1534 | 2011-04-13 |
| 1962718841 | Justin M Call | Physician Assistant | 1721 E 19th Ave Ste 434, Denver, CO 80218-1242 | 2010-08-30 |
| 1043337736 | Lynn Cameron Zollin | Physician Assistant | 1521 Pontiac St, Denver, CO 80220-1827 | 2007-03-26 |
| 1083746986 | Gregory J. Engelken | Physician Assistant | 950 E Harvard Ave Ste 550, Denver, CO 80210-7000 | 2007-03-09 |
| 1104817519 | Eric M Washychyn | Physician Assistant | 8101 E Lowry Blvd, Suite 260, Denver, CO 80230-7196 | 2005-11-03 |
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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.