DR. JODI J. DE LUCA (NPI# 1699788083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699788083 |
| Entity Type | Individual |
| Full Name | DR. JODI J. DE LUCA |
| Credential | PH.D. |
| Practice Address |
671 Mitchell Way Ste 109 Erie CO 80516-5445 |
| Mailing Address |
Po Box 944 Erie CO 80516-0944 |
| Practice Telephone | 7205049444 |
| Practice Fax Number | 3039978296 |
| Mailing Telephone | 7205049444 |
| Mailing Fax Number | 3039978296 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-04-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
3669 | CO | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PY-7169 | FL | Behavioral Health & Social Service Providers |
| Street Address |
671 MITCHELL WAY STE 109 |
| City | ERIE |
| State | CO |
| Zip Code | 80516-5445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1790348258 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 685 Briggs St, Erie, CO 80516 | 2019-04-19 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1174041073 | Anna Geheren | Registered Nurse | 764 High St, Erie, CO 80516 | 2017-08-31 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1962959569 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1981 State Hwy 7, Erie, CO 80516 | 2016-09-01 |
| Find all providers in zip 80516 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075956 | Lisa Pawlowski | Psychologist | 1176 Allen Ct, Erie, CO 80516-7007 | 2019-10-24 |
| 1750702791 | Melanie Hetzel-riggin | Psychologist | 5501 Gardner Dr, Erie, PA 16509-3020 | 2013-12-18 |
| 1114213295 | Stephen J Large | Psychologist | 542 W 6th St, # 3, Erie, PA 16507-1169 | 2011-06-27 |
| 1447552856 | Rebecca Lynne Billings | Psychologist | 1373b West 6th Street, Frontier Place, Erie, PA 16505-2503 | 2010-11-18 |
| 1497891360 | Bridget Ann Engel | Psychologist | 526 Briggs St., Suite A, Erie, CO 80516 | 2007-01-29 |
| 1831257849 | David James Johnson | Psychologist | 4622 Peach St., Level 2, Erie, PA 16509-2084 | 2006-12-04 |
| 1417025347 | Michelle M. Domowicz | Psychologist | 11 W 33rd St, Erie, PA 16508-2807 | 2006-11-30 |
| 1518052943 | Marilyn Marshall Hahn | Psychologist | 3939 West Ridge Road, Suite B-23, Erie, PA 16506 | 2006-10-03 |
| 1275625873 | Stephanie Shain Smith | Psychologist | 874 Mircos St, Erie, CO 80516-5407 | 2006-09-29 |
| 1346352481 | Jill Alexander-gottesman | Psychologist | 731 Lincoln Ave, Erie, PA 16505-5015 | 2006-08-31 |
| Find all providers in ERIE | ||||
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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.