KATRINA DENESE BRISTOL (NPI# 1487959177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487959177 |
| Entity Type | Individual |
| Full Name | KATRINA DENESE BRISTOL |
| Practice Address |
200 Exempla Cir Lafayette CO 80026-3370 |
| Mailing Address |
6537 Vesuvius Rd Evergreen CO 80439-5307 |
| Practice Telephone | 3036894740 |
| Mailing Telephone | 3036700731 |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2011-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
63272 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
200 EXEMPLA CIR |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-3370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316932387 | Susan L Blakley | Internal Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2005-09-15 |
| 1790391480 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-09-18 |
| 1659985737 | Healthone Clinic Services - Orthopedic Specialists LLC | Orthopaedic Surgery | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-09-04 |
| 1669096848 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-06-03 |
| 1104451699 | Emergency Service Physicians, Inc. | Emergency Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2020-03-05 |
| 1720569569 | Dastgeer Surgical Associates | Specialist/Technologist, Other | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2018-08-28 |
| 1639607021 | Sagarika Sinha | Hospitalist | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2017-05-30 |
| 1619321148 | Stephanie Veronica Eldred | Family Medicine | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2016-04-21 |
| 1861877169 | Ashley Lane | Physician Assistant | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-07-28 |
| 1184013500 | Michele Rundall-aemmer | Registered Nurse | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2015-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265956270 | Joanna Marie Norvil | Nurse Practitioner | 406 W Cannon St, Lafayette, CO 80026-1612 | 2017-08-01 |
| 1255736914 | Tarrah Rials | Nurse Practitioner | 107 Montrose Ave Ste D, Lafayette, LA 70503-3852 | 2014-10-23 |
| 1437577467 | Stacey Simon | Nurse Practitioner | 1214 Coolidge Blvd, Lafayette, LA 70503-2621 | 2014-04-07 |
| 1871855759 | Dana Adamson Olivier | Nurse Practitioner | 107 Montrose Ave, Lafayette, LA 70503-3852 | 2012-06-15 |
| 1922368992 | Trillis Mcclatchey | Nurse Practitioner | 1701 Creasy Lane, Lafayette, IN 47905-1701 | 2012-05-23 |
| 1891099321 | Nancy Marie Snow | Nurse Practitioner | 200 Exempla Cir, Lafayette, CO 80026-3370 | 2010-12-23 |
| 1912157934 | Rebecca Horn | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2008-09-26 |
| 1760630420 | Audra J Armstrong | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2008-09-05 |
| 1841455706 | Laura E. Mcdaniel | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2008-07-21 |
| 1760670343 | Jennifer E Myers | Nurse Practitioner | 2600 Greenbush St, Lafayette, IN 47904-2477 | 2007-10-09 |
| Find all providers in LAFAYETTE | ||||
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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.