ELI BLINN AVERY (NPI# 1679063069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679063069 |
| Entity Type | Individual |
| Full Name | ELI BLINN AVERY |
| Practice Address |
3519 Richmond Dr Fort Collins CO 80526-5995 |
| Mailing Address |
102 Hays Ave Sterling CO 80751-2866 |
| Practice Telephone | 9702040300 |
| Practice Fax Number | 9702269041 |
| Mailing Telephone | 9705213223 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2019-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0993736-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3519 RICHMOND DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-5995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995459 | Amy L Stump | Pharmacist | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2005-07-08 |
| 1700336773 | Associates In Family Medicine, P.C. | Family Medicine | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2016-10-13 |
| 1053761957 | Ross Sheline | Family Medicine | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2016-06-21 |
| 1982051199 | Michael James Orris | Physician Assistant | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2016-05-17 |
| 1881067403 | Dyan C Thompson | Nurse Practitioner | 3519 Richmond Dr, Fort Collins, CO 80526 | 2015-11-04 |
| 1932509890 | Shaunna Christie Ostrom | Social Worker | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2014-08-28 |
| 1801213079 | Kendra Beeners | Nurse Practitioner | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2014-03-25 |
| 1922429901 | Jacqueline L House | Physician Assistant | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2013-12-18 |
| 1891055604 | Jennifer L Tanguay | Social Worker | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2012-05-25 |
| 1043588312 | Todd Heron | Physician Assistant | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2011-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376140004 | Laurie Matson | Nurse Practitioner | 2945 Spring Harvest Ln, Fort Collins, CO 80528-3074 | 2020-10-06 |
| 1598378846 | Lauren Abigail Dieterman | Nurse Practitioner | 6208 Fall Harvest Way, Fort Collins, CO 80528-7242 | 2020-08-26 |
| 1699385773 | Carl Everett White | Nurse Practitioner | 1101 Oakridge Dr Unit B, Fort Collins, CO 80525-5536 | 2020-08-04 |
| 1790303873 | Angela Axmann Grabinger | Nurse Practitioner | 617 W Myrtle St, Fort Collins, CO 80521-3633 | 2020-07-06 |
| 1750917431 | Regina Thompson Loveley | Nurse Practitioner | 1951 Mackinac St, Fort Collins, CO 80524-3680 | 2020-03-13 |
| 1730714056 | Alba Cristina Riley | Nurse Practitioner | 627 Parker St, Fort Collins, CO 80525-1025 | 2020-03-06 |
| 1619500667 | Melissa Lynn Klos | Nurse Practitioner | 927 Saddlebrook Ln, Fort Collins, CO 80525-6966 | 2020-02-18 |
| 1851921050 | Robbie Jill Fendley | Nurse Practitioner | 2121 E Harmony Rd Unit 310, Fort Collins, CO 80528-3403 | 2020-01-16 |
| 1033757703 | Kelli J Rickett | Nurse Practitioner | 543 S Taft Hill Rd, Fort Collins, CO 80521-3238 | 2019-12-12 |
| 1689158057 | Rachel Ann Mclean | Nurse Practitioner | 6709 Autumn Ridge Dr Unit 1, Fort Collins, CO 80525-6996 | 2018-09-20 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on ELI BLINN AVERY.
| 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.