MS. ELLEN LOUISE BLACKMORE (NPI# 1588845168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588845168 |
| Entity Type | Individual |
| Full Name | MS. ELLEN LOUISE BLACKMORE |
| Credential | PA-C |
| Practice Address |
10900 Smith Rd Denver CO 80239-3262 |
| Mailing Address |
Po Box 1228 Boulder CO 80306-1228 |
| Practice Telephone | 3033072320 |
| Mailing Telephone | 3034734546 |
| Enumeration Date | 2007-11-23 |
| Last Update Date | 2007-11-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
397 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10900 SMITH RD |
| City | DENVER |
| State | CO |
| Zip Code | 80239-3262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215002357 | Carmen Allison Meyer | Nurse Practitioner | 10900 Smith Rd, Denver, CO 80239-3262 | 2006-11-22 |
| 1508415258 | Anne Oliver Pankratz | Nurse Practitioner | 10900 Smith Rd, Denver, CO 80239-3262 | 2019-09-05 |
| 1437691623 | Kasey Sheridan Grohe | Nurse Practitioner | 10900 Smith Rd, Denver, CO 80239-3262 | 2016-11-05 |
| 1093001406 | Muthulakshmi Yegappan | Internal Medicine | 10900 Smith Rd, Denver, CO 80239 | 2011-06-23 |
| 1396987939 | Sarah Elise Butler | Psychiatry & Neurology | 10900 Smith Rd, University of Colorado Denver School of Medicine Gme, Denver, CO 80239-3262 | 2009-03-27 |
| 1306022736 | Thomas Patrick Finley | Dentist | 10900 Smith Rd, Clinical Services, Denver, CO 80239-3262 | 2008-01-16 |
| 1023294436 | Samuel Bundrant | Dentist | 10900 Smith Rd, Denver, CO 80239-3262 | 2008-01-15 |
| 1083764203 | Lolita Maria Hanks | Nurse Practitioner | 10900 Smith Rd, Suite 210, Denver, CO 80239-3262 | 2007-01-11 |
| 1356401426 | Jamie Lynn Harrelson | Nurse Practitioner | 10900 Smith Rd, Denver, CO 80239-3262 | 2006-12-11 |
| 1831264969 | Chris Kofi Owusu | Physician Assistant | 10900 Smith Rd, Denver, CO 80239-3262 | 2006-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437799624 | Tiffanny Edelman | Behavior Technician | 12015 E. 46th Avenue Suite 680, Denver, CO 80239 | 2020-01-15 |
| 1427543586 | Magnolia Medical Company | Clinical Medical Laboratory | 10515 40th Avenue Suite 115, Denver, CO 80239 | 2018-06-29 |
| 1124477427 | Mallory Jean Crouch | Counselor | 3720 Revere St., Ste. B, Denver, CO 80239 | 2016-06-07 |
| 1659760841 | Ebony Leanne Williams | Home Health Aide | 14976 E 50th Dr, Denver, CO 80239 | 2015-01-12 |
| 1154686301 | Tuesday Nicole Hennessy | Optometrist | 4804 N Chambers Rd, Denver, CO 80239 | 2012-07-12 |
| 1225343379 | Denver Health and Hospital Authority | Clinic/Center | 12600 E. Albrook Drive, Denver, CO 80239 | 2010-08-13 |
| 1699902114 | James Gabel Kaferly IIi | Pediatrics | 12600 East Albrook Dr., Montbello Family Health Center Office, Denver, CO 80239 | 2009-06-11 |
| 1073733218 | Health One Home Health Care LLC. | Home Health | 4890 Ironton St, Unit H6, Denver, CO 80239 | 2007-04-30 |
| 1164578993 | Chelle Marie Lodge-guttery | Psychologist | 10900 Smith Rd., Denver, CO 80239 | 2007-01-26 |
| 1952327975 | Russell Wm Simpson | Internal Medicine | 4896 Chambers Rd., Denver, CO 80239 | 2006-07-14 |
| Find all providers in zip 80239 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677240 | Monique Minter | Physician Assistant | 5504 Malta St, Denver, CO 80249-8649 | 2020-10-23 |
| 1861901878 | Stephanie J Dyck IIi | Physician Assistant | 3800 North York St, Denver, CO 80205-3540 | 2017-09-21 |
| 1588115059 | Joshua Dollins Pasley | Physician Assistant | 955 Lawrence St, Plaza Building, Suite 150, Denver, CO 80217 | 2016-10-20 |
| 1730558172 | Hannah Mcnally | Physician Assistant | 1719 E 19th Ave # 300, Denver, CO 80218-1235 | 2015-09-16 |
| 1558778712 | Kerri Mckee | Physician Assistant | 4500 W. 38th Ave, Suite 220, Denver, CO 80212 | 2014-07-18 |
| 1811331812 | Josephine Frances Dennison | Physician Assistant | 3333 Regis Blvd F-12, Denver, CO 80221-1099 | 2013-04-20 |
| 1184967234 | Ryan Christopher Merson | Physician Assistant | 1960 North Ogden Street, Suite 110, Denver, CO 80218-3667 | 2013-03-27 |
| 1255675187 | Staci Lynn Palmore | Physician Assistant | 2000 S. Colorado Blvd, Tower 1 Suite 4500, Denver, CO 80222 | 2012-11-15 |
| 1518211051 | Jordan Michael Mast | Physician Assistant | 950 East Harvard Ave Ste 570, Denver, CO 80210-7003 | 2012-11-06 |
| 1578852463 | Susan Franta | Physician Assistant | 810 Krameria St, Denver, CO 80220-4615 | 2011-03-31 |
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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.