KIMBERLY BUCKELEW (NPI# 1497204648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497204648 |
| Entity Type | Individual |
| Full Name | KIMBERLY BUCKELEW |
| Credential | CNIM |
| Practice Address |
499 E Hampden Ave 220 Englewood CO 80113-2780 |
| Practice Telephone | 3037838844 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
3025 | FL | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
499 E HAMPDEN AVE 220 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80113-2780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395305 | James Joseph Fenton | Internal Medicine | 499 E Hampden Ave, Ste 300, Englewood, CO 80113-2793 | 2005-06-10 |
| 1992232144 | Owori Bwire Mang'eni | Pharmacist | 499 E Hampden Ave, Englewood, CO 80113 | 2017-05-18 |
| 1861936049 | Ellen Rae Mackinnon | Nurse Practitioner | 499 E Hampden Ave, Suite 300, Englewood, CO 80113-2780 | 2016-12-07 |
| 1457894347 | Jacob Beans | Nurse Practitioner | 499 E Hampden Ave, 3rd Fl, Suite 300, Englewood, CO 80113-2780 | 2016-11-23 |
| 1770030777 | Clare Gutzwiller | Physician Assistant | 499 E Hampden Ave, Suite 220, Englewood, CO 80113-2780 | 2016-09-07 |
| 1710431564 | Katherine Jane Giles | Clinical Neuropsychologist | 499 E Hampden Ave, Ste. 360, Englewood, CO 80113-2780 | 2016-08-10 |
| 1295288769 | Allan Nguyen | Surgery | 499 E Hampden Ave, #380, Englewood, CO 80113-2780 | 2016-08-01 |
| 1730550856 | Kelly Dooley | Physician Assistant | 499 E Hampden Ave, Suite 220, Englewood, CO 80113-2780 | 2015-10-15 |
| 1568833713 | Carepoint Inpatient Blue Sky Neurology Pllc | Physician Assistant | 499 E Hampden Ave, Ste. 360, Englewood, CO 80113-2780 | 2015-10-14 |
| 1609247857 | Carepoint Outpatient Blue Sky Neurology Pllc | Physician Assistant | 499 E Hampden Ave, Ste 360, Englewood, CO 80113-2780 | 2015-10-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306339163 | Colorado Urgent Care Physicians, PC | Clinic/Center | 5102 South Broadway, Englewood, CO 80113 | 2018-06-07 |
| 1518489178 | High Five Home Care LLC. | In Home Supportive Care | 4055 S Broadway, Suite #102, Englewood, CO 80113 | 2017-07-14 |
| 1720518426 | Chelsea M Bega | Audiologist | 3439 S Lincoln St, Englewood, CO 80113 | 2017-06-14 |
| 1689110272 | Mary Frances Mckinley | Physical Therapy Assistant | 3460 S Downing Street, Englewood, CO 80113 | 2017-01-06 |
| 1295190585 | Kassandra Dominique Hill | Nurse's Aide | 3301 S Whaington St, Apt.109, Englewood, CO 80113 | 2015-12-31 |
| 1760862130 | Grenhart & Associates, LLC | Psychologist | 3601 S Clarkson Street, Suite 540, Englewood, CO 80113 | 2015-06-01 |
| 1669807392 | Jill C Tomaso | Occupational Therapist | 3218 South Logan Street, Englewood, CO 80113 | 2013-09-12 |
| 1255683868 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 3495 S University Blvd, Englewood, CO 80113 | 2012-10-05 |
| 1700137825 | Stanley Leon Hannah | General Practice | 5 Martin Lane, Cherry Hills Village, CO 80113 | 2012-09-28 |
| 1558623496 | Annelise Lorelei Dawson | Dermatology | 499 E Hampden Ave Ste 390, Englewood, CO 80113 | 2012-06-15 |
| Find all providers in zip 80113 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073626305 | Surgical Concepts, LLC | Specialist/Technologist, Other | 777 E Girard Ave Ste 250, Englewood, CO 80113-2784 | 2006-08-17 |
| 1578127015 | Mykhaylo Oreletskiy | Specialist/Technologist, Other | 350 Engle St, Englewood, NJ 07631-1808 | 2019-04-30 |
| 1932627098 | William Cabos | Specialist/Technologist, Other | 350 Engle St, Englewood, NJ 07631-1808 | 2017-09-08 |
| 1619495777 | Janna Qiao | Specialist/Technologist, Other | 350 Engle St, Englewood, NJ 07631-1808 | 2017-09-08 |
| 1508291667 | Neurotech Neuromonitoring, LLC | Specialist/Technologist, Other | 3511 S Clarkson St, Englewood, CO 80113-3916 | 2013-09-09 |
| 1679908735 | Neuroprotect Neuromonitoring, LLC | Specialist/Technologist, Other | 3511 S Clarkson St, Englewood, CO 80113-3916 | 2013-09-09 |
| 1609177344 | Madhu Mukkamala | Specialist/Technologist, Other | 777 E Girard Ave, 250, Englewood, CO 80113-2767 | 2010-11-11 |
| 1093949935 | Renee Jay Straface | Specialist/Technologist, Other | 777 E Girard Ave, Suite 250, Englewood, CO 80113-2767 | 2009-05-06 |
| 1205070695 | Sean F Mccracken | Specialist/Technologist, Other | 777 E Girard Ave, Suite 250, Englewood, CO 80113-2767 | 2009-04-29 |
| 1902049265 | Daniel Kappes | Specialist/Technologist, Other | 777 E Girard Ave, Ste. 250, Englewood, CO 80113-2767 | 2009-04-15 |
| Find all providers in ENGLEWOOD | ||||
Please comment or provide details below to improve the information on KIMBERLY BUCKELEW.
| 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.