KELLY FRALICK (NPI# 1487641122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487641122 |
| Entity Type | Individual |
| Full Name | KELLY FRALICK |
| Credential | N.P. |
| Practice Address |
108 S Frontage Road West Suite 206 Vail CO 81657 |
| Mailing Address |
Po Box 848997 Boston MA 02284-8997 |
| Practice Telephone | 9704761110 |
| Mailing Telephone | 9704761110 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2008-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 107264 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
108 S FRONTAGE ROAD WEST SUITE 206 |
| City | VAIL |
| State | CO |
| Zip Code | 81657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164077897 | Vail Clinic, Inc. | Clinic/Center | 108 S. Frontage Road West, Vail, CO 81657 | 2019-08-08 |
| 1275048522 | Michelle Fitzgerald | Nurse Practitioner | 180 South Frontage Rd, Vail, CO 81657 | 2017-12-08 |
| 1972975662 | Narda Reigel | Counselor | 2488 Garmisch Drive, Vail, CO 81657 | 2015-10-21 |
| 1235511551 | Christopher James Beatton | Specialist | Howard Head Sports Medicine, Vail Valley Medical Centre 181 W Meadow Dr, Vail, CO 81657 | 2015-06-23 |
| 1558748384 | Stephanie Facchini | Specialist/Technologist | 40928 Hwy 6, Unit 2d, Vail, CO 81657 | 2015-04-30 |
| 1225299316 | Vvmc Diversified Services | Specialist | 180 S Frontage Road West, Suite 306, Vail, CO 81657 | 2008-06-20 |
| 1265616627 | Vvmc Diversified Services Inc | Internal Medicine | 108 South Frontage Road West, 206, Vail, CO 81657 | 2007-12-20 |
| 1336336346 | Laura Jean Olderog | Occupational Therapist | Vvmc,181 West Meadow Dr., Vail, CO 81657 | 2007-10-03 |
| 1720281983 | Darlene Traboscia Hoffman | Psychologist | 953 So Frontage Rd W, Vail, CO 81657 | 2007-06-06 |
| 1053512582 | Lindsey Ann Mackellar | Physician Assistant | 181 West Meadow Dr, Vail, CO 81657 | 2007-05-31 |
| Find all providers in zip 81657 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578885562 | Terese Ann Holmquist | Nurse Practitioner | 181 W Meadow Dr, Suite 400, Vail, CO 81657-5242 | 2010-02-18 |
| 1942462577 | Carol Herczeg | Nurse Practitioner | 181 W Meadow Dr, Vail, CO 81657-5242 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235952 | Che Pimentel | Nurse Practitioner | 16067 6030 Rd, Montrose, CO 81403-9609 | 2020-11-08 |
| 1720689789 | Noco New Beginnings | Nurse Practitioner | 1019 39th Ave Ste J, Greeley, CO 80634-2501 | 2020-11-05 |
| 1144827825 | Krs Health LLC | Nurse Practitioner | 3362 Dovetail Dr, Berthoud, CO 80513-8931 | 2020-10-06 |
| 1508471772 | Anne Judd | Nurse Practitioner | 7114 Avondale Rd, Fort Collins, CO 80525-8210 | 2020-09-14 |
| 1891300950 | Autumn Albert | Nurse Practitioner | 1295 Kelly Johnson Blvd Ste 110, Colorado Springs, CO 80920-3978 | 2020-09-14 |
| 1295349462 | Katherine Pedersen | Nurse Practitioner | 3827 N Lafayette St, Denver, CO 80205-3339 | 2020-09-03 |
| 1255944922 | Melissa Mathern | Nurse Practitioner | 7818 S Hill Cir, Littleton, CO 80120-4320 | 2020-08-24 |
| 1902416233 | Aja Danielle Petracca-lennon | Nurse Practitioner | 1044 Diamond Rim Dr, Colorado Springs, CO 80921-8429 | 2020-08-02 |
| 1245849637 | Stacy Shomo | Nurse Practitioner | 1688 Valley Oak Ct, Castle Rock, CO 80104-2211 | 2020-07-30 |
| 1376151902 | Victoria Marie Rallens | Nurse Practitioner | 316 N 3rd Ave, Sterling, CO 80751-3110 | 2020-07-20 |
| Find all providers with the same taxonomy | ||||
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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.