MS. KELLY LYNN SANDBERG (NPI# 1538408729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538408729 |
| Entity Type | Individual |
| Full Name | MS. KELLY LYNN SANDBERG |
| Other Name | KELLY LYNN RIVERA |
| Credential | NP |
| Practice Address |
1400 E Boulder St Colorado Springs CO 80909-5533 |
| Mailing Address |
Po Box 173891 Denver CO 80217-3891 |
| Practice Telephone | 7193655000 |
| Practice Fax Number | 3033067753 |
| Mailing Telephone | 3033067783 |
| Mailing Fax Number | 3033067753 |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
0990636 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0990636-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 34834320 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3207 N Academy Blvd, Suite 3100, Colorado Springs, CO 809175100 | 7196325700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215437702 | Kelly Jean Sandberg | Acupuncturist | 4007 Old Seward Hwy Ste 800, Anchorage, AK 99503-6075 | 2018-02-20 |
| 1255683538 | Kelly Sandberg | Speech-Language Pathologist | 1701 Point Owoods Ct, Raleigh, NC 27604-5838 | 2012-10-10 |
| 1922269133 | Kelly Sandberg | Pediatrics | 1 Childrens Plz, Dayton, OH 45404-1873 | 2008-06-19 |
| Street Address |
1400 E BOULDER ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363705 | Pikes Peak Cardiology A Professional LLP | Specialist | 1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533 | 2005-06-01 |
| 1154921906 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-30 |
| 1376143297 | Fabienne Sophie Haas | Student in an Organized Health Care Education/Training Program | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-29 |
| 1255930004 | Poudre Valley Medical Group, LLC | Social Worker | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-22 |
| 1497353247 | Stander Neurology Inc. | General Acute Care Hospital | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-14 |
| 1497378343 | Ashley Marie Griffin | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-27 |
| 1831711944 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
| 1033731120 | Poudre Valley Medical Group, LLC | General Practice | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
| 1548882756 | Jolene Kendall | Pharmacist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-11 |
| 1932720471 | Margaret Porter | Occupational Therapist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
| 1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
| 1922607357 | Laura Evelyn Pettit | Nurse Practitioner | 7114 Selfridge St, Colorado Springs, CO 80916-5296 | 2020-10-16 |
| 1962011452 | Minuteclinic Diagnostic of Colorado LLC | Nurse Practitioner | 3475 N Academy Blvd, Colorado Springs, CO 80917-5166 | 2020-07-30 |
| 1760008999 | Ruth-ann N Umana | Nurse Practitioner | 3550 Plantation Grv, Colorado Springs, CO 80920-4830 | 2020-06-23 |
| 1376169763 | Shannon Graves | Nurse Practitioner | 4964 Bluestem Dr, Colorado Springs, CO 80917-1306 | 2020-06-22 |
| 1487270807 | Tammy Michelle Williams | Nurse Practitioner | 10212 Hannaway Dr, Colorado Springs, CO 80924-5320 | 2020-06-22 |
| 1154947836 | Roni-sue Ranae Westermeyer | Nurse Practitioner | 560 Hidden Cottage Grv, Colorado Springs, CO 80906-7777 | 2020-06-18 |
| 1952937906 | Brena Jonsan Branch | Nurse Practitioner | 5556 Prairie Schooner Dr, Colorado Springs, CO 80923-8771 | 2020-03-20 |
| 1235764390 | Serenity Clouds Family Practice Pllc | Nurse Practitioner | 13395 Voyager Pkwy Ste 446, Colorado Springs, CO 80921-7676 | 2020-03-10 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
Please comment or provide details below to improve the information on MS. KELLY LYNN SANDBERG.
| 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.