MS. KATHLEEN ANN MOULDS (NPI# 1457479370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457479370 |
Entity Type | Individual |
Full Name | MS. KATHLEEN ANN MOULDS |
Credential | FNP |
Practice Address |
100 W 4th St Walsenburg CO 81089-1910 |
Mailing Address |
Po Box 52 Gardner CO 81040-0052 |
Practice Telephone | 7197381164 |
Practice Fax Number | 7197383399 |
Mailing Telephone | 7197462069 |
Mailing Fax Number | 7197383399 |
Enumeration Date | 2007-03-27 |
Last Update Date | 2016-11-04 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
78274 | CO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
100 W 4TH ST |
City | WALSENBURG |
State | CO |
Zip Code | 81089-1910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740707090 | Sarah E. Hein | Physician Assistant | 100 W 4th St, Walsenburg, CO 81089-1910 | 2017-08-28 |
1184930117 | William Temple Beverly | Social Worker | 100 W 4th St, Walsenburg, CO 81089-1910 | 2010-08-27 |
1578720819 | Jerriann Vigil | Physician Assistant | 100 W 4th St, Walsenburg, CO 81089-1910 | 2008-05-22 |
1760675698 | Family Medicine Clinic | General Practice | 100 W 4th St, Walsenburg, CO 81089-1910 | 2007-08-23 |
1659433613 | Rocky Mountain Eye Center, Inc. | Eyewear Supplier (Equipment, not the service) | 100 W 4th St, Walsenburg, CO 81089-1910 | 2006-12-15 |
1255364485 | C David Neece | General Practice | 100 W 4th St, Walsenburg, CO 81089-1910 | 2006-07-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336684471 | John Edward Hill | Counselor | 615 Russell St., Walsenburg, CO 81089 | 2016-12-28 |
1891997672 | Sandra Dee Majors | Counselor | 926 Russell Street, Walsenburg, CO 81089 | 2007-06-04 |
1306006143 | Olixn Lee Adams | Family Medicine | 23400 Us Highway 160, Walsenburg, CO 81089 | 2008-06-16 |
1265611354 | Diane M Ernewein | Physical Therapist | 125 E 5th St, Walsenburg, CO 81089 | 2007-10-25 |
1306905203 | Deej Health Corp | Pharmacy | 520 Main St, Walsenburg, CO 81089 | 2006-12-06 |
1710905997 | Ginger E. Dunnam-smith | Emergency Medicine | 23500 Us Highway 160, Walsenburg, CO 81089 | 2006-07-17 |
1053859611 | Southern Colorado Developmental Disabilities Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 309 E Elder St, Walsenburg, CO 81089-1601 | 2017-02-03 |
1407862386 | Kathy Ann Loeffler | Nurse Practitioner | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2006-07-31 |
1528665593 | Achieve Whole Recovery, PC | Specialist | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2020-10-02 |
1710274394 | Regina Jo Griego | Nurse Practitioner | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2011-07-05 |
Find all providers in zip 81089 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407862386 | Kathy Ann Loeffler | Nurse Practitioner | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2006-07-31 |
1265449714 | Candace Anne Ferguson | Nurse Practitioner | 129 Kansas Ave, Walsenburg, CO 81089-1818 | 2006-08-01 |
1508889049 | Karen D Campbell | Nurse Practitioner | 23400 Us Highway 160, Walsenburg, CO 81089-8100 | 2006-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
1508466855 | Cassandra Elizabeth Saad | Nurse Practitioner | 4024 S Rifle Way, Aurora, CO 80013-3240 | 2020-10-27 |
1992304471 | Amanda Michelle Heibult | Nurse Practitioner | 22047 E Ridge Trail Dr, Aurora, CO 80016-2668 | 2020-10-26 |
1407455157 | Faith Emma Olson | Nurse Practitioner | 2550 Winding River Dr Unit C1, Broomfield, CO 80023-6545 | 2020-10-23 |
1932708872 | Carla E Paredes Diaz | Nurse Practitioner | 2215 South Dr, Pueblo, CO 81008-1755 | 2020-10-21 |
1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
1902405038 | Rosalind Daninger | Nurse Practitioner | 1390 S Potomac St Ste 128, Aurora, CO 80012-4529 | 2020-10-20 |
1548869860 | Colleen R Newvine | Nurse Practitioner | 2831 W 133rd Ave, Broomfield, CO 80020-5263 | 2020-10-19 |
1598364952 | Shannon Elena Mckenna | Nurse Practitioner | 3047 Lawrence St, Denver, CO 80205-2317 | 2020-10-17 |
Find all providers with the same taxonomy |
City | WALSENBURG |
Zip Code | 81089 |
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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.