KELLIE COSTANZA (NPI# 1689229825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689229825 |
| Entity Type | Individual |
| Full Name | KELLIE COSTANZA |
| Credential | FNP-BC |
| Practice Address |
11750 W 2nd Pl Ste 255 Lakewood CO 80228-1726 |
| Mailing Address |
2477 Otis Ct Edgewater CO 80214-1028 |
| Practice Telephone | 7203218040 |
| Enumeration Date | 2019-08-05 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN.0994790-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
11750 W 2ND PL STE 255 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205846664 | Catholic Health Initiatives Colorado | Neurological Surgery | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2006-08-09 |
| 1871191833 | Sara Goyzueta | Physician Assistant | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2020-10-13 |
| 1932728920 | Neurosurgery One PC | Neurological Surgery | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2020-04-10 |
| 1912536194 | Neurosurgery One PC | Neurological Surgery | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2020-04-08 |
| 1295387108 | Jamie L Lynch | Nurse Practitioner | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2019-07-10 |
| 1588148985 | Chelsea Carruthers | Physician Assistant | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2018-09-20 |
| 1346658887 | Julie Schafer | Nurse Practitioner | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2014-07-29 |
| 1225271455 | Siamac Esfandi | Psychiatry & Neurology | 11750 W 2nd Pl Ste 255, Lakewood, CO 80228-1726 | 2009-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| 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 |
|---|---|---|---|---|
| 1205452141 | Kathryn Mccullough | Nurse Practitioner | 1253 S Flower Cir Apt A, Lakewood, CO 80232-2025 | 2020-06-16 |
| 1770144586 | Advanced Familycare Medicine | Nurse Practitioner | 9104 S Tacoma Way Ste 106f, Lakewood, WA 98499-4407 | 2019-06-24 |
| 1386115327 | Amy Rosana Maron-martinez | Nurse Practitioner | 15264 W La Salle Ave, Lakewood, CO 80228-5519 | 2018-12-17 |
| 1962981829 | Anchor Healthcare Solutions, Inc. | Nurse Practitioner | 5230 Clark Ave Ste 31, Lakewood, CA 90712-2668 | 2018-08-11 |
| 1063999605 | Yocheved Stern | Nurse Practitioner | 456 Chestnut St Ste 201, Lakewood, NJ 08701-6124 | 2018-07-26 |
| 1306358593 | Yongok K Mar | Nurse Practitioner | 2368 S Juniper Cir, Lakewood, CO 80228-6445 | 2017-10-29 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1407395734 | Infinity Care Housecall and Nursing Services | Nurse Practitioner | 3300 E South St Ste 209, Lakewood, CA 90805-4592 | 2017-02-20 |
| 1124476098 | Rachel Patterson | Nurse Practitioner | 3190 S Wadsworth Blvd Ste 250, Lakewood, CO 80227 | 2016-06-01 |
| 1043579154 | Matrix Medical Network of Colorado LLC | Nurse Practitioner | 200 Union Blvd Ste 200, Lakewood, CO 80228-1831 | 2012-05-09 |
| Find all providers in LAKEWOOD | ||||
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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.