MARK JANKELOW (NPI# 1487958070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487958070 |
| Entity Type | Individual |
| Full Name | MARK JANKELOW |
| Credential | PMHNP-BC |
| Practice Address |
1318 W Colorado Ave Colorado Springs CO 80904-4023 |
| Practice Telephone | 7197668511 |
| Practice Fax Number | 7192087731 |
| Mailing Telephone | 7197668511 |
| Mailing Fax Number | 7192087731 |
| Enumeration Date | 2010-12-22 |
| Last Update Date | 2018-10-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
ANP0990467 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN.0990467-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 87108518 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 265 S Joe Martinez Blvd, Pueblo, CO 810072741 | 7197668511 | 7192087731 |
| Street Address |
1318 W COLORADO AVE |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80904-4023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427175553 | Jane Y Anderson | Chiropractor | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2007-03-23 |
| 1073121943 | Ashley Benally-ross | Nurse Practitioner | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2020-07-16 |
| 1881109189 | Charles Richard Dagnillo | Clinical Nurse Specialist | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2017-12-08 |
| 1144604372 | Natalie Jessica Jankelow | Registered Nurse | 1318 W Colorado Ave, Colorado Springs, CO 80904 | 2015-07-17 |
| 1386038545 | Springbok Health Inc. | Nurse Practitioner | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2015-03-26 |
| 1336391838 | Beth Ann Thomas | Massage Therapist | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2008-10-15 |
| 1558482398 | William D Anderson | Chiropractor | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084133 | Tclllc | Behavioral Analyst | 2822 W Cucharras Street, Colorado Springs, CO 80904 | 2020-08-17 |
| 1770131971 | Jill Case Brown | Technician | 3002 W. Kiowa St., Colorado Springs, CO 80904 | 2019-08-30 |
| 1457888232 | Marcia W. Soule Dobson | Counselor | 3510 Temple Drive, Colorado Springs, CO 80904 | 2017-05-11 |
| 1184163610 | Home Healthcare Staffing Solutions Inc | Home Health | 3117 Chambers Way, Colorado Springs, CO 80904 | 2017-02-16 |
| 1104242700 | Optumcare Colorado Springs, LLC | Non-Pharmacy Dispensing Site | 600 S 21st Street, Ste 100, Colorado Springs, CO 80904 | 2014-03-07 |
| 1639595382 | Jessyca Sonia Sterner | Counselor | 2514 Colorado Ave, Suite 200, Colorado Springs, CO 80904 | 2014-03-05 |
| 1508291956 | Diane Chisesi | Anesthesiology | 2517 B. King Street, Colorado Springs, CO 80904 | 2013-09-04 |
| 1124363635 | Piotr Bieniek | Physical Therapy Assistant | 1133 Adams Dr, Colorado Springs, CO 80904 | 2012-12-10 |
| 1235480526 | Barry G. Zile | Physical Therapy Assistant | 1685 S. 21st Street, Colorado Springs, CO 80904 | 2012-09-26 |
| 1326397076 | Christie Sheffer | Midwife | 2524 W. Colorado Avenue, Suite 209, Colorado Springs, CO 80904 | 2012-09-09 |
| Find all providers in zip 80904 | ||||
| Taxonomy Code | 363LC1500X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013994003 | Aaron S Lawrence | Nurse Practitioner | 2502 E Pikes Peak Ave, 3rd Floor, Colorado Springs, CO 80909-6033 | 2005-12-29 |
| 1073121943 | Ashley Benally-ross | Nurse Practitioner | 1318 W Colorado Ave, Colorado Springs, CO 80904-4023 | 2020-07-16 |
| 1538408729 | Kelly Lynn Sandberg | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2013-02-07 |
| 1669459814 | Ginia Y Burdick | Nurse Practitioner | 2840 International Cir, Colorado Springs, CO 80910-3127 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215288915 | C3, LLC | Nurse Practitioner | 7546 Vardon Way, Fort Collins, CO 80528-8845 | 2012-09-21 |
| 1902057276 | Leilani M Hemminger | Nurse Practitioner | 2323 Curtis St, Denver, CO 80205-2627 | 2008-10-06 |
| 1225227234 | Martina Ann Paiz | Nurse Practitioner | 8990 N Washington, Thornton, CO 80229-4537 | 2007-10-16 |
| 1518152842 | Samuel Husbands Langstaff Jr. | Nurse Practitioner | 4170 South Federal Blvd., Sheridan, CO 80110 | 2007-09-10 |
| 1700897576 | M David Rodriguez | Nurse Practitioner | 8335 Fairmount Dr, #2-105, Denver, CO 80247-1130 | 2006-08-10 |
| 1790954816 | Patricia Sullivan | Nurse Practitioner | 255 W 6th St, Delta, CO 81416-1626 | 2008-02-22 |
| 1770772683 | Jessica Joy Reiss | Nurse Practitioner | 2942 Evergreen Pkwy, Ste 100, Evergreen, CO 80439-7909 | 2007-10-16 |
| 1932308129 | Jody Lynn Kind | Nurse Practitioner | 1525 Blue Spruce Dr, Fort Collins, CO 80524-2004 | 2007-07-17 |
| 1851592976 | Valerie Elisabeth Exelby | Nurse Practitioner | 1525 Blue Spruce Dr, Fort Collins, CO 80524-2004 | 2007-05-29 |
| 1508076837 | Terrie Lee Enriquez | Nurse Practitioner | 1525 Blue Spruce Dr, Fort Collins, CO 80524-2004 | 2007-05-23 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80904 |
Please comment or provide details below to improve the information on MARK JANKELOW.
| 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.