SUZANNE MIRTS (NPI# 1497206510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497206510 |
| Entity Type | Individual |
| Full Name | SUZANNE MIRTS |
| Practice Address |
559 Vincent St Bldg 959 Peterson Afb CO 80914-1541 |
| Mailing Address |
754 Chelmsford Ct Vacaville CA 95688-9248 |
| Practice Telephone | 7195567804 |
| Mailing Telephone | 9077179114 |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2018-04-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN0172411 | CO | Nursing Service Providers |
| Street Address |
559 VINCENT ST BLDG 959 |
| City | PETERSON AFB |
| State | CO |
| Zip Code | 80914-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578555645 | Timothy R Landis | Optometrist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2005-08-16 |
| 1649891557 | Ryan Barney | Social Worker | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2020-05-01 |
| 1871021444 | Danielle Markeeta Sales | Nurse Practitioner | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2017-05-26 |
| 1851827422 | Pablo Garcia | Physician Assistant | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2017-05-02 |
| 1760843437 | Matthew Jeffrey Parrish | Dentist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2016-03-09 |
| 1801261771 | Jennifer Dell Shoemake | Nurse Practitioner | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2015-12-03 |
| 1235531088 | Jaquelyn Suarez-murias | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2014-09-24 |
| 1598179772 | Andrew Rhoads Glynn | Dentist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2014-06-17 |
| 1710306873 | Peter Edward Fosse | Pharmacist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914-1541 | 2014-04-15 |
| 1720406796 | Beth D Achterhoff | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914 | 2014-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356897250 | Kym Littlefield Whitaker | Nurse Practitioner | 110 Ent Avenue, Peterson Afb, CA 80914 | 2016-08-30 |
| 1114322583 | Jessica Charmaine Johnson | Social Worker | 559 Vincent St, Bldg 959, Attn: 21 Omrs/sgow, Peterson Afb, CO 80914 | 2014-10-28 |
| 1306916267 | John Frank Drozd | Psychologist | 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 | 2006-11-08 |
| 1801858865 | Moshe Mark Douglas Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 | 2006-04-05 |
| 1215902002 | William J Dickson | Dentist | Peterson Afb, Bld 950, Colorado Springs, CO 80914 | 2006-02-23 |
| 1740889773 | Brandon Dean Estes | Dental Hygienist | 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 | 2020-10-21 |
| 1811378607 | Justin Henry Noble | Family Medicine | 559 Vincent St, Colorado Springs, CO 80914 | 2015-06-17 |
| 1225310162 | Zachary Edward Bishop | Pharmacist | 559 Vincent St, Attn: 21 Mdss/sgsap, Peterson Afb, CO 80914 | 2011-09-16 |
| 1659603256 | Thomas Wescott Mahoney | Family Medicine | 559 Vincent St, 21 Mdos/sgof Attn: Family Health, Peterson Afb, CO 80914 | 2010-02-05 |
| 1720210248 | Dewaine Allen Olson Jr. | Military Health Care Provider | 559 Vincent St, Peterson Afb, CO 80914 | 2009-08-17 |
| Find all providers in zip 80914 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619476504 | Clarissa Reno | Registered Nurse | 559 Vincent St, Peterson Afb, CO 80914-1541 | 2018-02-06 |
| 1194250399 | Megan Nicole Morley | Registered Nurse | 110 W Ent Ave, Peterson Afb, CO 80914-1595 | 2017-04-25 |
| 1558710616 | Amanda Michelle Fulmer | Registered Nurse | 559 Vincent Street, 21 Mdos/sgog-attn: Women's Health, Peterson Afb, CO 80914-1540 | 2016-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466764 | Kimberly Renee Baca | Registered Nurse | 7981 E 135th Ave, Thornton, CO 80602-8503 | 2020-10-27 |
| 1922607670 | Kyle Richard Dietz | Registered Nurse | 221 S Garfield St Unit 206, Denver, CO 80209-3192 | 2020-10-23 |
| 1013515600 | Julie Kissner | Registered Nurse | 607 25 Rd Ste 201, Grand Junction, CO 81505-1287 | 2020-10-15 |
| 1770181760 | Kaitlyn Pullara | Registered Nurse | 1 El Pueblo Way, Pueblo, CO 81006 | 2020-10-13 |
| 1174121073 | Katherine Rainie Campbell | Registered Nurse | 360 Peak One Dr # 230, Frisco, CO 80443-5948 | 2020-10-13 |
| 1114525227 | Emily Justice | Registered Nurse | 3702 High Ct, Wheat Ridge, CO 80033-6330 | 2020-10-12 |
| 1962009266 | Nahir Del Carmen Bailey | Registered Nurse | 4551 Bridle Pass Dr, Colorado Springs, CO 80923-9213 | 2020-10-08 |
| 1902413776 | Holly Laughlin | Registered Nurse | 1024 W Broken Bow Dr, Pueblo, CO 81007-4094 | 2020-09-25 |
| 1447866264 | Christy Nguyen | Registered Nurse | 2914 S Zurich Ct, Denver, CO 80236-2039 | 2020-09-17 |
| 1609482546 | Amy Brundage Kinkade | Registered Nurse | 8095 Galileo Way, Littleton, CO 80125-1813 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
| City | PETERSON AFB |
| Zip Code | 80914 |
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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.