MR. KANCHAN BHOWMIK (NPI# 1497100390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497100390 |
| Entity Type | Individual |
| Full Name | MR. KANCHAN BHOWMIK |
| Credential | PMHNP-BC |
| Practice Address |
4770 Larimer Pkwy Johnstown CO 80534-8912 |
| Mailing Address |
1421 Reeves Dr Fort Collins CO 80526-9644 |
| Practice Telephone | 9704615061 |
| Mailing Telephone | 9702270894 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2020-02-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN.1621971 | CO | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
APN.0995127-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2409 Evergreen Dr, Fort Collins, CO 805214125 | 9702270894 |
| Street Address |
4770 LARIMER PKWY |
| City | JOHNSTOWN |
| State | CO |
| Zip Code | 80534-8912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366496309 | Neil A Venard | Psychiatry & Neurology | 4770 Larimer Pkwy, Johnstown, CO 80534-8918 | 2006-05-22 |
| 1194227959 | Sbh - North Denver | Psychiatry & Neurology | 4770 Larimer Pkwy, Johnstown, CO 80534-8918 | 2018-03-07 |
| 1477081404 | Patricia Ann Wright | Pharmacist | 4770 Larimer Pkwy, Johnstown, CO 80534-8918 | 2017-06-03 |
| 1871974436 | Sbh - North Denver | Psychiatry & Neurology | 4770 Larimer Pkwy, Johnstown, CO 80534-8918 | 2015-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790299410 | Bauer Occupational Therapy, LLC | Occupational Therapist | 442 La Costa Ln, Johnstown, CO 80534 | 2017-11-17 |
| 1942698071 | Family Physicians of Greeley, LLP | Family Medicine | 473 Castle Pines Ave, Suite 1, Johnstown, CO 80534 | 2014-12-23 |
| 1376761924 | Steven L Martin | Dentist | 5 N. Parish Ave., Johnstown, CO 80534 | 2007-04-20 |
| 1699896613 | Ashlea Elizabeth Franques | Pediatrics | 4435 Ronald Reagan Blvd, Johnstown, CO 80534 | 2007-04-03 |
| 1720069198 | Kenneth A Pettine | Orthopaedic Surgery | 4795 Larimer Parkway, Johnstown, CO 80534 | 2005-11-10 |
| 1043858251 | Kristen Mcfarland | Physical Therapist | 247 Mountain Avenue, Berthoud, CO 80534 | 2019-12-18 |
| 1841780400 | Colorado Rehabilitation Associates LLC | Physical Medicine & Rehabilitation | 4401 Union St, Johnstown, CO 80534 | 2018-05-18 |
| 1073059523 | Santibanez Aguirre PC | Hospitalist | 4401a Union Street, Johnstown, CO 80534 | 2017-01-09 |
| 1811142524 | 25/34 Plastic Surgery Associates, PC | Specialist | 4450 Union St., Suite 100, Johnstown, CO 80534-0001 | 2008-11-21 |
| 1790794824 | Marc Anthony Masotti | Internal Medicine | 4401a Union St, Johnstown, CO 80534-2800 | 2006-08-07 |
| Find all providers in zip 80534 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518055235 | Barbara Bourdess | Nurse Practitioner | 119 Walnut St, Johnstown, PA 15901-1625 | 2006-10-10 |
| 1851502967 | Diane E May | Nurse Practitioner | 320 Main St, Johnstown, PA 15901-1601 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430719 | Mam Psychiatry, LLC | Nurse Practitioner | 770 W Hampden Ave Ste 325, Englewood, CO 80110-2133 | 2020-09-01 |
| 1528678372 | Chelsey Mcfaddin | Nurse Practitioner | 14221 E 4th Ave # 2-126, Aurora, CO 80011-8735 | 2020-08-06 |
| 1912517293 | Viewpoints Psychotherapy Services, LLC | Nurse Practitioner | 1017 E Us Highway 24 # 2138, Woodland Park, CO 80863-2120 | 2020-08-03 |
| 1316555386 | Comfort of Your Home Psychiatry | Nurse Practitioner | 175 Hurd Lane, Unit 3212, Avon, CO 81620 | 2020-07-16 |
| 1265040117 | Integrative Psychiatric Services | Nurse Practitioner | 204 Walnut St Ste A, Fort Collins, CO 80524-4439 | 2020-07-16 |
| 1417574815 | Acorn Behavioral Health Services LLC | Nurse Practitioner | 1425 W 29th St, Loveland, CO 80538-2403 | 2020-07-01 |
| 1760009617 | Tiffany Taylor | Nurse Practitioner | 4729 Opus Dr, Colorado Springs, CO 80906-8694 | 2020-06-26 |
| 1578189791 | Bailey Et Al Pllc | Nurse Practitioner | 3005 Anchor Way Apt 1, Fort Collins, CO 80525-4716 | 2020-06-23 |
| 1407471774 | Meditelecare of Colorado LLC | Nurse Practitioner | 1900 W Littleton Blvd, Littleton, CO 80120-2023 | 2020-06-12 |
| 1699399030 | Denmind Psychiatric Solutions Pllc | Nurse Practitioner | 600 17th St Ste 2800, Denver, CO 80202-5428 | 2020-06-01 |
| 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.