DIANE GENOVA (NPI# 1700868247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700868247 |
| Entity Type | Individual |
| Full Name | DIANE GENOVA |
| Other Name | DIANE FRYE |
| Credential | NP |
| Practice Address |
5920 Mcintyre St Ste 200 Golden CO 80403-7445 |
| Mailing Address |
5920 Mcintyre St 300b Golden CO 80403-7445 |
| Practice Telephone | 7204344876 |
| Practice Fax Number | 3032254246 |
| Mailing Telephone | 7204344876 |
| Mailing Fax Number | 3032254246 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2017-04-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
106168 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 87680564 | 05 |
| Street Address |
5920 MCINTYRE ST STE 200 |
| City | GOLDEN |
| State | CO |
| Zip Code | 80403-7445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215939541 | Timothy J Rodgers | Internal Medicine | 5920 Mcintyre St, Golden, CO 80403-7445 | 2005-05-31 |
| 1184256489 | Sylvia Knop | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2020-02-05 |
| 1578106696 | Nakia Fields | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-10-21 |
| 1598312456 | Joseph N Namongo | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-08-24 |
| 1437706769 | Elizabeth Claire Ingram | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-08-21 |
| 1699329029 | Amanda Griffith | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-07-24 |
| 1033672597 | Krystina Enriquez | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-04-11 |
| 1245716075 | Brittany Horrigan | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-15 |
| 1710463765 | Ciara Falzone | Physician Assistant | 5920 Mcintyre St, Golden, CO 80403 | 2018-07-12 |
| 1982199899 | Elizabeth Mweru Wambugu | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417229394 | Dami Ann Hughes | Massage Therapist | 19562 W 57th Circle, Golden, CO 80403 | 2012-02-07 |
| 1942446075 | Laura Brett | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2008-12-18 |
| 1952453664 | Jan M. Oxman | Psychologist | 17830 W. 53rd Drive, Golden, CO 80403 | 2007-01-16 |
| 1609935337 | Julie Ann Lindsay | Physical Therapist | 109 Rubey Dr, Suite G-h, Golden, CO 80403 | 2006-12-08 |
| 1285660936 | Theraphysics Partners of Colorado, Inc. | Physical Therapist | 112 N Rubey Dr Unit 135, Golden, CO 80403 | 2006-06-24 |
| 1811930043 | Cynthia K Petrinovic | Occupational Therapist | 3935 Douglas Mtn Drive, Golden, CO 80403 | 2006-06-14 |
| 1114463882 | Summit Speech and Language Therapy, LLC | Speech-Language Pathologist | 16941 W 60th Dr, Arvada, CO 80403 | 2017-01-18 |
| 1891183448 | Tracy Gardner | Speech-Language Pathologist | 5987 Dunraven St, Golden, CO 80403-1007 | 2015-01-06 |
| 1548665110 | Michelle Dawn | Registered Nurse | 5977 Dunraven St, Golden, CO 80403-1007 | 2014-10-25 |
| 1093927352 | Quality Home Living | Contractor | 5900 Blanca Ct, Golden, CO 80403-1023 | 2007-05-07 |
| Find all providers in zip 80403 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104341759 | Sanny Hohs | Nurse Practitioner | 755 Heritage Rd Ste 100, Golden, CO 80401-3600 | 2017-08-04 |
| 1598706574 | Kathleen Jo Gutierrez | Nurse Practitioner | 14828 W 6th Ave, Suite 16-b, Golden, CO 80401-5000 | 2006-06-09 |
| 1598312456 | Joseph N Namongo | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-08-24 |
| 1437706769 | Elizabeth Claire Ingram | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-08-21 |
| 1033672597 | Krystina Enriquez | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2019-04-11 |
| 1326522269 | Jenelynn Kimble | Nurse Practitioner | 755 Heritage Rd Ste 100, Golden, CO 80401-3600 | 2018-09-17 |
| 1982199899 | Elizabeth Mweru Wambugu | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403 | 2018-06-25 |
| 1407366966 | Lynn M Dananay | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2017-10-10 |
| 1487172185 | Cynthia Forsblad | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2017-09-01 |
| 1609278290 | Clarence Edward Adams Jr. | Nurse Practitioner | 5920 Mcintyre St, Golden, CO 80403-7445 | 2014-09-25 |
| Find all providers in GOLDEN | ||||
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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.