MS. CAROL SUSAN CONGER (NPI# 1649393406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649393406 |
| Entity Type | Individual |
| Full Name | MS. CAROL SUSAN CONGER |
| Credential | N.P. |
| Practice Address |
320 Beard Creek Rd Edwards CO 81632 |
| Mailing Address |
320 Beard Creek Rd Edwards CO 81632-6426 |
| Practice Telephone | 9709452840 |
| Practice Fax Number | 9709452893 |
| Mailing Telephone | 9709452840 |
| Mailing Fax Number | 9709452893 |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2017-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
100400 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 49650874 | 05 |
| Street Address |
320 BEARD CREEK RD |
| City | EDWARDS |
| State | CO |
| Zip Code | 81632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921481 | Michael James Granzin | Physical Therapist | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2005-09-02 |
| 1548804032 | Travis Mitchell | Counselor | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2019-10-29 |
| 1992359749 | Casandra Armas | Counselor | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2019-07-30 |
| 1730669185 | Ryan Coyle | Social Worker | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2018-08-15 |
| 1407347537 | Adriana Melissa Meyer | Nurse Practitioner | 320 Beard Creek Rd, Edwards, CO 81632 | 2018-05-24 |
| 1619471034 | Joseph Drew | Nurse Practitioner | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2018-03-20 |
| 1295288488 | David Kurbatsky | Physical Therapist | 320 Beard Creek Rd, Edwards, CO 81632-6433 | 2016-07-25 |
| 1205294360 | Whitney Young | Counselor | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2016-02-04 |
| 1922485606 | Jennifer Paller Girard | Counselor | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2015-04-30 |
| 1972933992 | Mountain Family Health Centers | Clinic/Center | 320 Beard Creek Rd, Edwards, CO 81632-6426 | 2013-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771258 | Bsig Rx LLC | Pharmacy | 105 Edwards Village Blvd., Unit G-107, Edwards, CO 81632 | 2020-08-24 |
| 1700430535 | Luke Cobb | Chiropractor | 128 Main St #c6, Edwards, CO 81632 | 2019-07-30 |
| 1710453543 | Lindsay Marie Bergman | Physician Assistant | 1140 Edwards Village II, B-105, Edwards, CO 81632 | 2018-10-19 |
| 1073092037 | Ryan G Zastrow, Dds, Pllc | Dentist | 275 Main St Unit O 203, Edwards, CO 81632 | 2018-08-10 |
| 1093216046 | Mauricio Cadavid | Massage Therapist | Vimg, 105 Edwards Village Center A-203, Edwards, CO 81632 | 2018-02-26 |
| 1083113765 | Mountain Valley Kids Dental, Pllc | Dentist | 105 Edwards Village Blvd., #d-202, Po Box 41, Edwards, CO 81632 | 2018-02-07 |
| 1760903447 | Bryan Diekmann | Specialist/Technologist | 1140 Edwards Village Blvd. Ste 105, Edwards, CO 81632 | 2017-07-03 |
| 1457702409 | Anesthesia Partners of Colorado | Anesthesiology | 230 Foal Circle, Edwards, CO 81632 | 2016-06-30 |
| 1720437148 | Sheila Griffith | Specialist | 105 Edwards Village Blvd Suite G201, Edwards, CO 81632 | 2016-06-07 |
| 1992107171 | Sara Bentley | Physical Therapist | 105 Edwards Village Center, Suite A203, Edwards, CO 81632 | 2014-09-19 |
| Find all providers in zip 81632 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982644266 | Andrew J. Lafrance | Nurse Practitioner | 20 Trout Lake Road, Edwards, NY 13635-0031 | 2006-06-07 |
| 1124522909 | Dodie D Mcgee | Nurse Practitioner | 3190 Highway 467, Edwards, MS 39066-4126 | 2018-03-19 |
| 1972973212 | Polly Hastie | Nurse Practitioner | 56 Edwards Village Blvd, Suite 226, Edwards, CO 81632-7802 | 2015-09-29 |
| 1396169389 | Janet Marie Graham | Nurse Practitioner | 56 Edwards Village Blvd, Ste 208, Edwards, CO 81632-7802 | 2014-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
| 1013517879 | Melanie Bjorkman | Nurse Practitioner | 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 | 2020-10-29 |
| 1508466855 | Cassandra Elizabeth Saad | Nurse Practitioner | 4024 S Rifle Way, Aurora, CO 80013-3240 | 2020-10-27 |
| 1992304471 | Amanda Michelle Heibult | Nurse Practitioner | 22047 E Ridge Trail Dr, Aurora, CO 80016-2668 | 2020-10-26 |
| 1407455157 | Faith Emma Olson | Nurse Practitioner | 2550 Winding River Dr Unit C1, Broomfield, CO 80023-6545 | 2020-10-23 |
| 1932708872 | Carla E Paredes Diaz | Nurse Practitioner | 2215 South Dr, Pueblo, CO 81008-1755 | 2020-10-21 |
| 1932708013 | Lindsay Sweetman | Nurse Practitioner | 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 | 2020-10-20 |
| 1902405038 | Rosalind Daninger | Nurse Practitioner | 1390 S Potomac St Ste 128, Aurora, CO 80012-4529 | 2020-10-20 |
| 1548869860 | Colleen R Newvine | Nurse Practitioner | 2831 W 133rd Ave, Broomfield, CO 80020-5263 | 2020-10-19 |
| 1598364952 | Shannon Elena Mckenna | Nurse Practitioner | 3047 Lawrence St, Denver, CO 80205-2317 | 2020-10-17 |
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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.