CHERYL K SISCO (NPI# 1700122165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700122165 |
| Entity Type | Individual |
| Full Name | CHERYL K SISCO |
| Credential | B.S. CAC II |
| Practice Address |
6860 W Mississippi Ave Unit D Lakewood CO 80226 |
| Mailing Address |
6860 W Mississippi Ave Apt D Lakewood CO 80226-4500 |
| Practice Telephone | 3039751748 |
| Mailing Telephone | 3039751748 |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | CO | Residential Treatment Facilities | |
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831416478 | Cheryl A Sisco | Nurse Practitioner | 200 Jefferson Ave., Grand Rapids, MI 49503 | 2010-04-21 |
| Street Address |
6860 W MISSISSIPPI AVE UNIT D |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153771 | Kaeley Marie Moffatt | Behavior Technician | 265 Harlan St, Lakewood, CO 80226 | 2020-01-10 |
| 1871130849 | Karla C Lara | Behavior Technician | 265 South Horland, Lakewood, CO 80226 | 2019-12-09 |
| 1063057842 | Nancy Sue Boisture | Physical Therapist | 393 South Harlan Street, Suite 170, Lakewood, CO 80226 | 2019-11-15 |
| 1891338083 | The Rising Sun Senior Home At Belmar Inc. | Assisted Living Facility | 835 S. Flower St, Lakewood, CO 80226 | 2019-10-21 |
| 1689195562 | Amanda Marie Reider | Counselor | 1075 S Yukon St Lakewood #100, Lakewood, CO 80226 | 2017-06-30 |
| 1477092591 | Premere Rehab LLC | Occupational Therapist | 7825 W Alameda Ave, Lakewood, CO 80226 | 2017-02-22 |
| 1477901304 | Abigail L Wegert | Registered Nurse | 8015 W Alameda Ave Ste 260, Lakewood, CO 80226 | 2016-06-01 |
| 1235507724 | Justin Evans | Emergency Medicine | 476 Newland St, Lakewood, CO 80226 | 2015-09-14 |
| 1922475672 | Kingston Dialysis LLC | Clinic/Center | 1057 S Wadsworth Blvd Ste 100, Lakewood, CO 80226 | 2015-08-28 |
| 1457731937 | Terry Cheung | Nurse Practitioner | 7444 W Alaska Drive, Suite #200, Lakewood, CO 80226 | 2015-06-01 |
| Find all providers in zip 80226 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710253604 | The Center for Discovery & Adolescent Change | Community Based Residential Treatment Facility, Mental Illness | 4136 Ann Arbor Rd, Lakewood, CA 90712 | 2012-03-26 |
| 1578699450 | The New Future Dreams LLC | Community Based Residential Treatment Facility, Mental Illness | 127 7th St, Lakewood, NJ 08701-2859 | 2007-02-26 |
| 1518410828 | Kheyre and Moalim Corporation | Community Based Residential Treatment Facility, Mental Illness | 1398 Zephyr St, Lakewood, CO 80214-4269 | 2016-08-03 |
| 1285033803 | Matthew Philip Coston | Community Based Residential Treatment Facility, Mental Illness | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2014-08-20 |
| 1093999880 | Theresa Kay Scott | Community Based Residential Treatment Facility, Mental Illness | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2007-12-28 |
| 1497937148 | James Henry Miller | Community Based Residential Treatment Facility, Mental Illness | 9108 Lakewood Dr Sw, Lakewood, WA 98499-3949 | 2007-12-04 |
| 1922148519 | Jon David Lauritzen | Community Based Residential Treatment Facility, Mental Illness | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2007-02-06 |
| 1265571442 | Ted Norris | Community Based Residential Treatment Facility, Mental Illness | 7290 W 14th Ave, Lakewood, CO 80214-4725 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134632896 | Aspinwall Limited Liability Company | Community Based Residential Treatment Facility, Mental Illness | 8263 E Mansfield Ave, Denver, CO 80237-1722 | 2017-11-15 |
| 1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
| 1730611146 | Rite of Passage, Inc | Community Based Residential Treatment Facility, Mental Illness | 5924 Us Highway 285, Morrison, CO 80465-9101 | 2017-04-03 |
| 1720538648 | Maddisen Mosser | Community Based Residential Treatment Facility, Mental Illness | 8400 E Yale Ave Apt 2-208, Denver, CO 80231-3853 | 2016-10-04 |
| 1124497268 | Daniel Little | Community Based Residential Treatment Facility, Mental Illness | 3764 Silverton Street, Boulder, CO 80301 | 2015-09-18 |
| 1740699362 | Turning Point Center for Youth and Family Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 640 W Prospect Rd, Fort Collins, CO 80526-1918 | 2014-08-07 |
| 1699184416 | Turning Point Center for Youth and Family Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 10431 N County Road 15, Fort Collins, CO 80524-8733 | 2014-08-06 |
| 1528470036 | Steps2hope | Community Based Residential Treatment Facility, Mental Illness | 3261 Raleigh St, Denver, CO 80212-1707 | 2014-06-02 |
| 1447692876 | La Mar Child Placemnt Agency | Community Based Residential Treatment Facility, Mental Illness | 5315 Hicks Dr, Colorado Springs, CO 80911-3615 | 2013-07-26 |
| 1316280365 | Urban Peak | Community Based Residential Treatment Facility, Mental Illness | 1630 S Acoma St, Denver, CO 80223-3602 | 2013-03-28 |
| 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.