MARY KLUKKERT (NPI# 1447814298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447814298 |
| Entity Type | Individual |
| Full Name | MARY KLUKKERT |
| Practice Address |
1055 Clermont St Denver CO 80220-3808 |
| Mailing Address |
8100 S Kellerman Cir Aurora CO 80016-7402 |
| Practice Telephone | 3033998020 |
| Mailing Telephone | 3039158804 |
| Enumeration Date | 2019-04-26 |
| Last Update Date | 2019-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
0994642-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1055 CLERMONT ST |
| City | DENVER |
| State | CO |
| Zip Code | 80220-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942188 | Suzanne J Kasim | Pharmacist | 1055 Clermont St, Hbpc, Building 4, Denver, CO 80220-3808 | 2005-06-16 |
| 1710454970 | Abigail Norouzinia | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-10-25 |
| 1003393018 | Erin Kathleen Poindexter | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-07-23 |
| 1083106579 | Emilia Worthey | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-31 |
| 1659862431 | Ankurpreet Singh Gill | Student in an Organized Health Care Education/Training Program | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-28 |
| 1891284964 | Denver Vamc | Psychiatric Residential Treatment Facility | 1055 Clermont St, Denver, CO 80220 | 2018-05-04 |
| 1578050084 | Jason Alan Kacmarski | Clinical Neuropsychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-19 |
| 1154828861 | Austin Brown | Podiatrist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-09 |
| 1952804221 | Jennifer Lynn Vallejo | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-03-13 |
| 1194227223 | Kelsey Mansorian | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-03-05 |
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194333195 | Kaitlin Kraus | Nurse Practitioner | 820 N Sherman St Apt 213, Denver, CO 80203-2975 | 2020-07-16 |
| 1255981122 | Mary Jeal Carrasco | Nurse Practitioner | 6850 E Evans Ave Ste 102, Denver, CO 80224-2300 | 2019-09-12 |
| 1497221097 | Lana Eller | Nurse Practitioner | 1640 Royal Troon Ct, Denver, NC 28037-5519 | 2018-10-22 |
| 1447310388 | Hilary Somers Victoroff | Nurse Practitioner | 3600 Havana St, Denver, CO 80239-3266 | 2006-12-11 |
| 1578621991 | Stephanie Motter | Nurse Practitioner | 4500 E. 9th Ave, #700, Denver, CO 80220 | 2006-12-05 |
| 1164504692 | Sheila Winters | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2006-10-20 |
| 1427143510 | Carol Sue Maslyn | Nurse Practitioner | 1930 S Federal Blvd, Denver, CO 80219-5501 | 2006-10-04 |
| 1952320616 | Marilyn Marie Lynn | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629679519 | Amanda Winter | Nurse Practitioner | 17657 Road 27.7, Dolores, CO 81323-8605 | 2020-11-05 |
| 1568078707 | William Glenn Vause | Nurse Practitioner | 1625 S Iola St Apt 107, Aurora, CO 80012-4087 | 2020-09-22 |
| 1215547286 | Kimberly Frances Vialpando | Nurse Practitioner | 216 S 11th St, Colorado Springs, CO 80904-4300 | 2020-08-05 |
| 1881204071 | Annette K Johnson | Nurse Practitioner | 13975 W Layton Cir, Morrison, CO 80465-1071 | 2020-08-03 |
| 1386262871 | Catherine Fenster | Nurse Practitioner | 305 Prospector Ave, Durango, CO 81301-7954 | 2020-07-10 |
| 1487291233 | Next Door Health Care | Nurse Practitioner | 190 S 1st St Unit A, Bennett, CO 80102-7899 | 2019-11-27 |
| 1871057620 | Marion Eleanor Toll | Nurse Practitioner | 1025 Garfield St Ste B, Fort Collins, CO 80524-3930 | 2019-01-25 |
| 1225534860 | Elizabeth Faye Kirt | Nurse Practitioner | 924 Oak St., Steamboat Springs, CO 80487 | 2018-04-03 |
| 1558861815 | Thrive Primary Care At Woodland Park LLC | Nurse Practitioner | 1067 Us 24, 276, Woodland Park, CO 80863 | 2018-02-13 |
| 1841798535 | Tree of Life Integrative Health Inc | Nurse Practitioner | 310 Judson St, Longmont, CO 80501-4815 | 2018-01-26 |
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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.