CARMEN L. LASTINE (NPI# 1699907915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699907915 |
| Entity Type | Individual |
| Full Name | CARMEN L. LASTINE |
| Credential | D.V.M. |
| Practice Address |
456 Kokopelli Blvd Unit E Fruita CO 81521-8723 |
| Mailing Address |
2076 Victorian Ln Grand Junction CO 81505-8308 |
| Practice Telephone | 9708584299 |
| Mailing Telephone | 9702015191 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174M00000X | Veterinarian | 3964 | OK | Other Service Providers |
| Street Address |
456 KOKOPELLI BLVD UNIT E |
| City | FRUITA |
| State | CO |
| Zip Code | 81521-8723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070306 | Lower Valley Hospital Association | Psychiatry & Neurology | 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1215535943 | Lower Valley Hospital Association | Clinic/Center | 576 Kokopelli Blvd Unit F, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1851883284 | Rivers End Dental | Clinic/Center | 532 Raptor Road, Unit B, Fruita, CO 81521 | 2018-06-01 |
| 1427404789 | Path-co, LLC | Day Training, Developmentally Disabled Services | 113 Elderberry Drive, Fruita, CO 81521 | 2016-05-05 |
| 1043518822 | Jonathan E Blaha | Chiropractor | 212 E. Aspen Ave, Fruita, CO 81521 | 2011-03-03 |
| 1881916401 | Diana L Wright | Physician Assistant | 456 Kokopelli Blvd, Suite B, Fruita, CO 81521 | 2010-02-23 |
| 1881878759 | Elizabeth Arena Rook | Internal Medicine | 576 Kokopelli Blvd Unit D-e, Fruita, CO 81521 | 2007-12-27 |
| 1073715348 | Milton Bret Mixon | Speech-Language Pathologist | 551 Kokopelli Blvd Unit B, Fruita, CO 81521 | 2007-05-31 |
| 1306063748 | Scott Douglas Lybrook | Dentist | 551 Kokopelli Blvd, Suite A, Fruita, CO 81521 | 2007-04-19 |
| 1316060684 | Carol Bell Lybrook | Dentist | 551 Kokopelli Ave.,suite A, Fruita, CO 81521 | 2007-04-09 |
| Find all providers in zip 81521 | ||||
| Taxonomy Code | 174M00000X |
| Grouping | Other Service Providers |
| Classification | Veterinarian |
| A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |
| Notes: Source: Dorland’s Illustrated Medical Dictionary. 28th edition. Philadelphia: W.B. Saunders Company, 1994, p. 1823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396104840 | Linda Shoens | Veterinarian | 10221 Ferncrest St, Firestone, CO 80504-3501 | 2016-02-12 |
| 1285092486 | Carrie Nedele | Veterinarian | 535 Zerex Street B105, Fraser, CO 80442-0014 | 2016-02-02 |
| 1265899488 | Robert James Jr. | Veterinarian | 1842 S Parker Rd, Suite 10, Denver, CO 80231-2274 | 2016-01-19 |
| 1063887842 | Yael Farah | Veterinarian | 1041 Galapago St, Denver, CO 80204-3942 | 2015-12-05 |
| 1467845586 | Rocky Mountain Veterinary Cardiology | Veterinarian | 3640 Walnut St, Boulder, CO 80301-2526 | 2015-03-13 |
| 1629469143 | Sheila Ricewatkins | Veterinarian | 32175 Castle Ct, Evergreen, CO 80439-9585 | 2015-02-06 |
| 1629466412 | Jennifer Garner | Veterinarian | 805 S Public Rd, Lafayette, CO 80026-2127 | 2014-12-31 |
| 1669870622 | Mary Sare | Veterinarian | 23605 Oehlmann Park Rd, Conifer, CO 80433-4504 | 2014-12-08 |
| 1578970299 | Sarah Anger | Veterinarian | 6900 S Holly Cir, Centennial, CO 80112-1018 | 2014-07-15 |
| 1043639909 | Kelly Clements | Veterinarian | 860 E 131st Pl, Thornton, CO 80241-1130 | 2014-04-08 |
| 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.