PEDIATRIC EFFECTIVE ELIMINATION PROGRAM CLINIC & CONSULTING, PC (NPI# 1720334899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720334899 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC EFFECTIVE ELIMINATION PROGRAM CLINIC & CONSULTING, PC |
| Practice Address |
6179 S Balsam Way #205 Littleton CO 80123-3091 |
| Mailing Address |
9249 S Broadway #200-268 Highlands Ranch CO 80129-5690 |
| Practice Telephone | 7207711135 |
| Practice Fax Number | 3038895247 |
| Mailing Telephone | 7207711135 |
| Mailing Fax Number | 3038895247 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2014-09-07 |
| Authorized Official Name | MICHELLE LYNN MCGARRY (DIRECTOR, PRESIDENT) |
| Authorized Official Telephone | 7207711135 |
| Authorized Official Credential | MSN RN CPNP CUNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
88483 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 15729362 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548550908 | Pediatric Effective Elimination Program Clinic & Consulting, PC | Nurse Practitioner | 999 18th Street, 3000, Denver, CO 80202 | 2011-04-19 |
| Street Address |
6179 S BALSAM WAY #205 |
| City | LITTLETON |
| State | CO |
| Zip Code | 80123-3091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528064532 | Timothy W James | Optometrist | 6179 S Balsam Way, Ste 130, Littleton, CO 80123-3092 | 2005-06-23 |
| 1558906776 | Elizabeth Parker | Physician Assistant | 6179 S Balsam Way, Littleton, CO 80123-3091 | 2019-11-12 |
| 1427535574 | Morgan Mcginn | Family Medicine | 6179 S Balsam Way, Littleton, CO 80123 | 2018-07-22 |
| 1477088649 | Park View Pediatrics | Clinic/Center | 6179 S Balsam Way, Suite 205, Littleton, CO 80123-3091 | 2017-04-26 |
| 1336594381 | Peep Clinic | Clinic/Center | 6179 S Balsam Way, #205, Littleton, CO 80123-3091 | 2016-04-27 |
| 1154691426 | Healthy Habits Pediatrics, Pllc | Pediatrics | 6179 S Balsam Way, Suite 205, Littleton, CO 80123-3091 | 2012-01-04 |
| 1609100858 | Summit Family Medicine Inc | Family Medicine | 6179 S Balsam Way, Suite #210, Littleton, CO 80123-3093 | 2009-09-21 |
| 1164673414 | Nickolas Joseph Curcija | Physician Assistant | 6179 S Balsam Way, Ste 110, Littleton, CO 80123-3091 | 2008-10-06 |
| 1285821546 | Lorin Bernard Creer | Dentist | 6179 S Balsam Way, Suite 220, Littleton, CO 80123 | 2007-10-01 |
| 1588855035 | Tim W. James Od PC | Optometrist | 6179 S Balsam Way, Suite 130, Littleton, CO 80123-3092 | 2007-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053823708 | Audrey Marie Dertien | Physical Therapist | 8160 W Coal Mine Ave, Littleton, CO 80123 | 2017-11-02 |
| 1215472832 | Littleton Counseling Associates Inc | Social Worker | 5931 S. Middlefield Rd., Suite 102, Littleton, CO 80123 | 2017-01-05 |
| 1376099986 | Catalyst Family Health LLC | Acupuncturist | 8501 W. Union Ave., #6, Littleton, CO 80123 | 2016-09-01 |
| 1760938476 | Evan Ingerson | Physical Therapist | 8500 W Crestline Avenue, Suite G-5, Littleton, CO 80123 | 2016-09-01 |
| 1114307899 | Denver Anesthesia Dentistry | Dentist | 5420 Lakeshore Dr, Littleton, CO 80123 | 2015-06-08 |
| 1053718064 | Mary Grace Helfer | Specialist/Technologist | 9585 West Powers Circle, Littleton, CO 80123 | 2014-11-20 |
| 1497097133 | Aaron R Beck | Chiropractor | 7735 West Long Dr., Suite 11, Littleton, CO 80123 | 2013-03-20 |
| 1609154145 | Ultimate Health Medical Center Inc | Chiropractor | 7735 W. Long Dr., Suite 11, Littleton, CO 80123 | 2011-08-02 |
| 1487894036 | Stephanie Erin Patterson | Licensed Practical Nurse | 5297 S Wadsworth Blvd, Southwest Medical Offices, Littleton, CO 80123 | 2009-02-23 |
| 1518122274 | Orthopedic Rehab, Inc. | Prosthetic/Orthotic Supplier | 5066 S. Wadsworth Way, Ste 128, Littleton, CO 80123 | 2008-07-22 |
| Find all providers in zip 80123 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003368150 | Jennifer Mack | Nurse Practitioner | 6179 S Balsam Way Ste 205, Littleton, CO 80123-3093 | 2016-10-25 |
| 1265526594 | Michelle Mcgarry | Nurse Practitioner | 6179 S Balsam Way, #205, Littleton, CO 80123-3091 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832981 | 4 Corners Children's Clinic | Nurse Practitioner | 555 Rivergate Ste B1-109, Durango, CO 81301-7473 | 2020-08-22 |
| 1922630995 | Ashley Ruth Lahman | Nurse Practitioner | 162 Tartan Dr, Johnstown, CO 80534-7429 | 2020-02-07 |
| 1912543778 | Lauren Wollenzin | Nurse Practitioner | 3548 Dexter Ct, Denver, CO 80207-1050 | 2019-11-26 |
| 1386209294 | Rachel Unruh | Nurse Practitioner | 4880 Thompson Pkwy # 116, Johnstown, CO 80534-6409 | 2019-05-06 |
| 1083186407 | Megan Brady | Nurse Practitioner | 454 S Lafayette St, Denver, CO 80209-2501 | 2018-12-24 |
| 1093299679 | Brittany Michele Nielsen | Nurse Practitioner | 9141 Grant St Ste 115, Thornton, CO 80229 | 2018-09-19 |
| 1073010922 | Amanda Aung | Nurse Practitioner | 7240 Trione Ln, Fountain, CO 80817-2805 | 2018-04-08 |
| 1245737279 | Rebecca A Somershoe | Nurse Practitioner | 8200 E Belleview Ave Ste 510e, Greenwood Village, CO 80111-2808 | 2018-04-06 |
| 1629596168 | Alaina C Vargas | Nurse Practitioner | 502 Ludwig Drive, Bayfield, CO 81122 | 2017-09-05 |
| 1629592803 | Karly Yingst | Nurse Practitioner | 1516 Morning Glow Dr, Windsor, CO 80550 | 2017-07-31 |
| 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.