THE LITTLE CLINIC OF COLORADO LLC (NPI# 1538766340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538766340 |
| Entity Type | Organization |
| Organization Name | THE LITTLE CLINIC OF COLORADO LLC |
| Practice Address |
5544 Promenade Pkwy Castle Rock CO 80108-1903 |
| Mailing Address |
Po Box 932958 Cleveland OH 44193-0028 |
| Practice Telephone | 3036529128 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MARC ROBERT WATKINS (CMO) |
| Authorized Official Telephone | 6154254221 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000165586 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312498 | The Little Clinic of Colorado LLC | Physician Assistant | 12959 S Parker Rd, Parker, CO 80134-3447 | 2020-10-08 |
| 1588261374 | The Little Clinic of Colorado LLC | Physician Assistant | 17761 Cottonwood Dr, Parker, CO 80134-3925 | 2020-10-05 |
| 1023615820 | The Little Clinic of Colorado LLC | Physician Assistant | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2020-10-05 |
| 1275130072 | The Little Clinic of Colorado LLC | Physician Assistant | 1750 W Uintah St, Colorado Springs, CO 80904-2926 | 2020-10-05 |
| 1700483500 | The Little Clinic of Colorado LLC | Physician Assistant | 12167 Sheridan Blvd, Broomfield, CO 80020-2417 | 2020-10-05 |
| 1598362394 | The Little Clinic of Colorado LLC | Physician Assistant | 2100 35th Ave, Greeley, CO 80634-3910 | 2020-10-05 |
| 1043817844 | The Little Clinic of Colorado LLC | Physician Assistant | 3620 Austin Bluffs Pkwy, Colorado Springs, CO 80918-6631 | 2020-10-05 |
| 1861099673 | The Little Clinic of Colorado LLC | Physician Assistant | 2810 Quebec St, Denver, CO 80207-2900 | 2020-10-05 |
| 1679170484 | The Little Clinic of Colorado LLC | Physician Assistant | 1842 N College Ave, Fort Collins, CO 80524-1323 | 2020-10-05 |
| 1821695636 | The Little Clinic of Colorado LLC | Physician Assistant | 1891 State Highway 7, Erie, CO 80516-8003 | 2020-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | The Little Clinic of Colorado LLC | 1014 Vine Street, Cincinnati, OH 45202 |
| Street Address |
5544 PROMENADE PKWY |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80108-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891823753 | Christopher Flom | Nurse Practitioner | 5544 Promenade Pkwy, Castle Rock, CO 80108 | 2007-03-01 |
| 1811542509 | Rebecca Dianne Orwig | Pharmacist | 5544 Promenade Pkwy, Castle Rock, CO 80108-1903 | 2019-08-08 |
| 1750861324 | Kimberly Ann Matzke | Nurse Practitioner | 5544 Promenade Pkwy, Castle Rock, CO 80108-1903 | 2018-08-14 |
| 1427571413 | Lindsey Nicole Walsh | Nurse Practitioner | 5544 Promenade Pkwy, Castle Rock, CO 80108-1903 | 2017-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164050902 | Elisabeth Susanne Littleton | Clinical Nurse Specialist | 6415 Montano Pl, Castle Pines, CO 80108 | 2020-03-28 |
| 1508366576 | Converge Health, LLC | Pharmacist | 4410 Orofino Pl, Castle Rock, CO 80108 | 2018-02-16 |
| 1447677042 | New Paradigm Counseling | Community/Behavioral Health | 757 Maleta Lane Suite 101, Castle Rock, CO 80108 | 2014-03-21 |
| 1205258043 | Valerie Sorensen Miller | Lactation Consultant, Non-RN | 9201 N Palomino, Castle Rock, CO 80108 | 2014-01-14 |
| 1134555238 | Michael Hunter | Pharmacist | 8664 Fawnwood Dr, Castle Pines, CO 80108 | 2013-09-20 |
| 1821341587 | Herman Aristov | Specialist/Technologist, Other | 1170 Berganot Trail, Castle Pines, CO 80108 | 2012-10-18 |
| 1457625691 | Castle Rock Modern Dentistry, LLP | Dentist | 36 East Allen Street, Ste. 100, Castle Rock, CO 80108 | 2012-03-06 |
| 1407166770 | Scott Ryan | Dentist | 850 Happy Canyon Road, Castle Rock, CO 80108 | 2010-10-20 |
| 1184817330 | Ralph Richard Trinque | Dentist | 7080 Campden Pl, Castle Pines, CO 80108 | 2007-08-21 |
| 1982826517 | Pediatric Denticare, P.C. | Dentist | 361 Village Square Lane, Suite 100, Castle Rock, CO 80108 | 2007-05-03 |
| Find all providers in zip 80108 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609157 | Julie Formes | Nurse Practitioner | 2738 Rising Moon Way, Castle Rock, CO 80109-3788 | 2020-08-11 |
| 1447414537 | Paige Ellen Nielsen-mayer | Nurse Practitioner | 9031 Clydesdale Rd, Castle Rock, CO 80108-9102 | 2008-07-17 |
| 1891823753 | Christopher Flom | Nurse Practitioner | 5544 Promenade Pkwy, Castle Rock, CO 80108 | 2007-03-01 |
| 1255438255 | Jill Marie Hefti Breed | Nurse Practitioner | 2356 Meadows Blvd Ste 140b, Castle Rock, CO 80109-8410 | 2006-09-20 |
| 1124017967 | Rachel L Stolley | Nurse Practitioner | 1001 S Perry St Ste 104b, Castle Rock, CO 80104 | 2005-10-14 |
| 1992316640 | Kate Alana Setter | Nurse Practitioner | 6256 Oxford Peak Ct, Castle Rock, CO 80108-9467 | 2020-08-14 |
| 1518583699 | Laura Mcgilvery | Nurse Practitioner | 1 Oakwood Park Plz Ste 101, Castle Rock, CO 80104-1849 | 2020-06-24 |
| 1497223168 | Alexis Amber Kemp | Nurse Practitioner | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2018-11-10 |
| 1750861324 | Kimberly Ann Matzke | Nurse Practitioner | 5544 Promenade Pkwy, Castle Rock, CO 80108-1903 | 2018-08-14 |
| 1376052852 | Lauren Vaughn Weinberger | Nurse Practitioner | 2352 Meadows Blvd Ste 300, Castle Rock, CO 80109-8419 | 2017-09-27 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80108 |
Please comment or provide details below to improve the information on THE LITTLE CLINIC OF COLORADO LLC.
| 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.