SANDRA J INAZU (NPI# 1558366369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558366369 |
| Entity Type | Individual |
| Full Name | SANDRA J INAZU |
| Credential | N.P. |
| Practice Address |
175 S Union Blvd Ste 350 Colorado Springs CO 80910-3146 |
| Mailing Address |
175 S Union Blvd Suite 350 Colorado Springs CO 80910-3113 |
| Practice Telephone | 7196335515 |
| Practice Fax Number | 7194712258 |
| Mailing Telephone | 7196335515 |
| Mailing Fax Number | 7194712258 |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2007-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
94094 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 S UNION BLVD STE 350 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80910-3146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324168 | Colorado Professional Medical, Inc | Prosthetic/Orthotic Supplier | 175 S Union Blvd, Ste 370, Colorado Springs, CO 80910-3113 | 2005-05-23 |
| 1538788823 | Katharine Berscheid | Physical Therapist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-16 |
| 1518586635 | Kathryn Allison Seidman | Speech-Language Pathologist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-09 |
| 1487283008 | Carolyn Montgomery | Physical Therapist | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2020-04-06 |
| 1316506231 | Uch-mhs | Clinic/Center | 175 S Union Blvd, Colorado Springs, CO 80910-3113 | 2019-06-13 |
| 1790344042 | Uch-mhs | Clinic/Center | 175 S Union Blvd, Suite 100, Colorado Springs, CO 80910-3117 | 2019-06-11 |
| 1588175483 | Sarah Farrell | Speech-Language Pathologist | 175 S Union Blvd, Suite 225, Colorado Springs, CO 80910 | 2017-10-18 |
| 1477090538 | Claribel Polanco | Speech-Language Pathologist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2017-01-27 |
| 1487197646 | Kristen Elizabeth Arestad | Occupational Therapist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2016-11-21 |
| 1336590801 | Brittany Pieters | Speech-Language Pathologist | 175 S Union Blvd, Suite 255, Colorado Springs, CO 80910-3113 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952955403 | Marian Lin Mondy | Social Worker | 2909 Wellshire Blvd., Colorado Springs, CO 80910 | 2019-08-01 |
| 1538727474 | Lisa Morales | Audiologist | 3225 International Cir Ste 102, Colorado Springs, CO 80910 | 2019-06-05 |
| 1134617038 | Paul Gross | Counselor | 411 Lakewood Circle Dr, C-204-b, Colorado Springs, CO 80910 | 2018-04-25 |
| 1821502923 | Kathleen Lubos Ambros-dahilig | Dental Assistant | 2240 Gilpin Ave, Colorado Springs, CO 80910 | 2017-11-28 |
| 1508384793 | Shawn Maul | Registered Nurse | 115 S Parkside, Colorado Springs, CO 80910 | 2017-09-07 |
| 1376910521 | Kelley Elizabeth Smith Bouchard | Nurse Practitioner | 3225 International Circle Suite 220, Colorado Springs, CO 80910 | 2015-08-24 |
| 1619353430 | Dr. Steven Alan Gould Dds PC | Dentist | 2859 E. Fountain Blvd, Colorado Springs, CO 80910 | 2015-08-04 |
| 1881029155 | Francis Hammet | Chiropractor | 411 Lakewood Circle A1104, Colorado Springs, CO 80910 | 2013-09-05 |
| 1447697586 | Mcb Clinical Research Centers, LLC | Psychologist | 110 S. Parkside Drive, Colorado Springs, CO 80910 | 2013-05-30 |
| 1417206723 | Augustus Albert Edwards | Case Manager/Care Coordinator | 115 Parkside Drive, Colorado Springs, CO 80910 | 2012-08-31 |
| Find all providers in zip 80910 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171247 | Emily Hull-lierheimer | Nurse Practitioner | 4755 Timber Wolf Trl, Colorado Springs, CO 80920-7671 | 2020-07-08 |
| 1710524137 | Julie Esther Ayaad | Nurse Practitioner | 1427 W Rio Grande, Colorado Springs, CO 80905 | 2019-12-04 |
| 1124587928 | Eileen Quillin | Nurse Practitioner | 2120 N Cascade Ave, Colorado Springs, CO 80907-6729 | 2019-03-19 |
| 1851806798 | Theresa Louise Greenup | Nurse Practitioner | 1980 Dominion Way Ste 101, Colorado Springs, CO 80918-1475 | 2017-12-13 |
| 1881110088 | Christine Gonzales | Nurse Practitioner | 2739 E Las Vegas St, Colorado Springs, CO 80906 | 2017-08-18 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1710334081 | Ashley Berarducci | Nurse Practitioner | 2993 Broadmoor Valley Rd Ste 103, Colorado Springs, CO 80906-4471 | 2016-05-17 |
| 1689012023 | Rocky Mountain Medical Exams, LLC | Nurse Practitioner | 3510 Galley Rd Ste 104, Colorado Springs, CO 80909-4353 | 2013-06-07 |
| 1649583964 | Sherri Lynne Musgrave | Nurse Practitioner | 6915 Tutt Blvd # 110b, Colorado Springs, CO 80923-3591 | 2010-07-15 |
| 1558673962 | Patricia Smock Thornton | Nurse Practitioner | 2502 E Pikes Peak Ave Ste 100, Colorado Springs, CO 80909-6089 | 2010-07-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80910 |
Please comment or provide details below to improve the information on SANDRA J INAZU.
| 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.