FRED NP LLC (NPI# 1699310284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699310284 |
| Entity Type | Organization |
| Organization Name | FRED NP LLC |
| Practice Address |
1032 N Lincoln Ave Loveland CO 80537-4989 |
| Mailing Address |
17 E Monroe St # 125 Chicago IL 60603-5608 |
| Practice Telephone | 9703103406 |
| Mailing Telephone | 3093972415 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-12-09 |
| Authorized Official Name | THOMAS MOORE (SOLE MEMBER/OWNER/NP) |
| Authorized Official Telephone | 3093972415 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1032 N LINCOLN AVE |
| City | LOVELAND |
| State | CO |
| Zip Code | 80537-4989 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902213655 | Edward Phillip Mockus | Psychologist | 1032 N Lincoln Ave, Loveland, CO 80537-4989 | 2014-07-15 |
| 1912548215 | Heart Centered Counseling Inc | Psychologist | 1032 N Lincoln Ave, Loveland, CO 80537-4989 | 2019-10-08 |
| 1306398144 | Pamela Herrick | Marriage & Family Therapist | 1032 N Lincoln Ave, Loveland, CO 80537 | 2016-10-27 |
| 1427508373 | Leann Woods | Counselor | 1032 N Lincoln Ave, Loveland, CO 80537-4989 | 2016-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972161073 | Schaeffer Therapy, LLC | Marriage & Family Therapist | 585 North Lincoln Avenue, 571, Loveland, CO 80537 | 2019-06-04 |
| 1447729132 | Mountainside Counseling, Pllc | Clinic/Center | 1380 Denve Ave., Loveland, CO 80537 | 2018-11-26 |
| 1629582945 | Katheryn D Sierocki | Spec/Tech, Health Info | 3918 Joni Ln, Loveland, CO 80537 | 2017-11-22 |
| 1902339963 | Hti2, LLC Dba Pearle Vision Loveland | Point of Service | 1391 Sculptor Dr., Loveland, CO 80537 | 2017-04-06 |
| 1407391980 | Whitney Grigsby | Behavior Technician | 5323 Cedar Valley Drive, Loveland, CO 80537 | 2016-12-20 |
| 1770026940 | Mh Health Care Services, PC | Nurse Practitioner | 1632 Topaz Lane, C/o of City of Loveland Health Center, Loveland, CO 80537 | 2016-11-21 |
| 1417324443 | Erica Hawks | Speech-Language Pathologist | 241 Lori Dr, Loveland, CO 80537 | 2015-08-25 |
| 1356749485 | Traci-ann Seana Reynolds | Dental Hygienist | 1135 N. Lincoln Ave, Suite 4, Loveland, CO 80537 | 2014-12-05 |
| 1215342274 | Charles Lee Simmons Jr. | Counselor | 1905 W 8th St Ste 202, Loveland, CO 80537 | 2014-06-27 |
| 1376979716 | Ariel Friese | Counselor | 832 W Eisenhower Blvd Ste B1, Loveland, CO 80537 | 2013-09-17 |
| Find all providers in zip 80537 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574815 | Acorn Behavioral Health Services LLC | Nurse Practitioner | 1425 W 29th St, Loveland, CO 80538-2403 | 2020-07-01 |
| 1972139467 | Alpenglow Psych, Pllc | Nurse Practitioner | 2004 W 15th St Ste 3, Loveland, CO 80538-3551 | 2020-03-17 |
| 1265874473 | Klaudia Monika Mayer | Nurse Practitioner | 1250 N Wilson Ave, Loveland, CO 80537-4461 | 2013-07-29 |
| 1184808206 | Pamela Jean Mcgill | Nurse Practitioner | 1250 N Wilson Ave, Loveland, CO 80537-4461 | 2007-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104430719 | Mam Psychiatry, LLC | Nurse Practitioner | 770 W Hampden Ave Ste 325, Englewood, CO 80110-2133 | 2020-09-01 |
| 1528678372 | Chelsey Mcfaddin | Nurse Practitioner | 14221 E 4th Ave # 2-126, Aurora, CO 80011-8735 | 2020-08-06 |
| 1912517293 | Viewpoints Psychotherapy Services, LLC | Nurse Practitioner | 1017 E Us Highway 24 # 2138, Woodland Park, CO 80863-2120 | 2020-08-03 |
| 1316555386 | Comfort of Your Home Psychiatry | Nurse Practitioner | 175 Hurd Lane, Unit 3212, Avon, CO 81620 | 2020-07-16 |
| 1265040117 | Integrative Psychiatric Services | Nurse Practitioner | 204 Walnut St Ste A, Fort Collins, CO 80524-4439 | 2020-07-16 |
| 1760009617 | Tiffany Taylor | Nurse Practitioner | 4729 Opus Dr, Colorado Springs, CO 80906-8694 | 2020-06-26 |
| 1578189791 | Bailey Et Al Pllc | Nurse Practitioner | 3005 Anchor Way Apt 1, Fort Collins, CO 80525-4716 | 2020-06-23 |
| 1407471774 | Meditelecare of Colorado LLC | Nurse Practitioner | 1900 W Littleton Blvd, Littleton, CO 80120-2023 | 2020-06-12 |
| 1699399030 | Denmind Psychiatric Solutions Pllc | Nurse Practitioner | 600 17th St Ste 2800, Denver, CO 80202-5428 | 2020-06-01 |
| 1164056685 | Clarity Mental Health, Pllc | Nurse Practitioner | 10001 Washington St Ste 3b, Thornton, CO 80229-2050 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
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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.