REVITALIZED HEALTH, LLC. (NPI# 1679062483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679062483 |
| Entity Type | Organization |
| Organization Name | REVITALIZED HEALTH, LLC. |
| Other Organization Name | REVITALIZED HEALTH |
| Practice Address |
7761 Shaffer Pkwy Ste 120 Littleton CO 80127-3729 |
| Practice Telephone | 7203612302 |
| Practice Fax Number | 7207288617 |
| Mailing Telephone | 7203612302 |
| Mailing Fax Number | 7207288617 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Authorized Official Name | MR. JOHN RICHARD FLAUDING (OWNER/NURSE PRACTITIONER) |
| Authorized Official Telephone | 7203612302 |
| Authorized Official Credential | NP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| REVITALIZED HEALTH | Doing Business As Name - Organization |
| Street Address |
7761 SHAFFER PKWY STE 120 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80127-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029571 | Victoria Jane Getzen | Physical Therapist | 10239 D W Fair Ave, Littleton, CO 80127 | 2018-07-10 |
| 1720506306 | Nola Lynn Walker Palmer | Registered Nurse | 11052 W. Cooper Drive, Littleton, CO 80127 | 2017-09-05 |
| 1356863922 | Hanna Tarsunova Page | Audiologist | 6578 S Alkire St, Unit 1628, Littleton, CO 80127 | 2017-07-14 |
| 1316307879 | Colleen Imerman | Speech-Language Pathologist | 8 Wild Turkey Lane, Littleton, CO 80127 | 2016-02-26 |
| 1407241011 | Priya Dokken | Pediatrics | 10901 W Toller Dr Ste 101, Littleton, CO 80127 | 2015-03-31 |
| 1003210907 | Denya Wormenor | Counselor | 8420 S. Continental Divide Road #222, Littleton, CO 80127 | 2014-10-21 |
| 1114328150 | Littleton-bowles Medical Center LLC | Clinic/Center | 13351 West Bowles Ave, Littleton, CO 80127 | 2014-09-09 |
| 1417365040 | Amanda Bird | Physician Assistant | 271 West County Line Road, Littleton, CO 80127 | 2014-07-28 |
| 1174933642 | Stacy Hart | Counselor | 8420 S Continental Divide Rd #223, Littleton, CO 80127 | 2014-05-05 |
| 1124443601 | Meredith L. Bremner | Physical Therapist | 6612 S. Ward Street, Littleton, CO 80127 | 2014-02-20 |
| Find all providers in zip 80127 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358263 | Katherine Cornwall Englund | Nurse Practitioner | 71 Harwood Ave, Littleton, MA 01460-1544 | 2020-08-28 |
| 1255944922 | Melissa Mathern | Nurse Practitioner | 7818 S Hill Cir, Littleton, CO 80120-4320 | 2020-08-24 |
| 1568920890 | Meagan Elizabeth Grandgenett | Nurse Practitioner | 5618 S Louthan St, Littleton, CO 80120-1207 | 2019-03-05 |
| 1942750351 | Dooryardnp, LLC | Nurse Practitioner | 21 Crawford St, Littleton, NH 03561-5502 | 2016-10-10 |
| 1164878021 | Ultimate Health Medical Clinic Inc | Nurse Practitioner | 7735 W Long Dr Unit 12, Littleton, CO 80123-1262 | 2016-05-10 |
| 1295953412 | Dr K Ravilochan Md LLC | Nurse Practitioner | 7720 S Broadway Ste 320, Littleton, CO 80122-2624 | 2007-04-23 |
| 1144305129 | Shara L Hansen | Nurse Practitioner | 13402 W Coal Mine Ave Ste 230, Littleton, CO 80127-5407 | 2006-10-26 |
| 1043236003 | Barbara A Doro | Nurse Practitioner | 8246 W Bowles Ave Bldg 1, Littleton, CO 80123-3097 | 2006-07-14 |
| 1164474888 | Julie L Garside | Nurse Practitioner | 1000 South Park Drive, Littleton, CO 80120-5654 | 2006-05-17 |
| 1043269483 | Diane M Kotsaftis | Nurse Practitioner | 531 King Street, Suite 3, Littleton, MA 01460 | 2006-05-10 |
| Find all providers in LITTLETON | ||||
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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.