KELSEY J NINOW (NPI# 1740583012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740583012 |
| Entity Type | Individual |
| Full Name | KELSEY J NINOW |
| Other Name | KELSEY J LUNDEEN |
| Credential | P.A. |
| Practice Address |
7030 S Yosemite St Centennial CO 80112-2026 |
| Practice Telephone | 3037219984 |
| Practice Fax Number | 9092677304 |
| Mailing Telephone | 3037219984 |
| Mailing Fax Number | 3032677304 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2016-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 3120 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | RAILROAD MEDICARE PTAN | P01099664 | 01 |
| Street Address |
7030 S YOSEMITE ST |
| City | CENTENNIAL |
| State | CO |
| Zip Code | 80112-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578561874 | Paul T Raford | Family Medicine | 7030 S Yosemite St, Centennial, CO 80112-2016 | 2005-07-11 |
| 1760949309 | Miranda Rose Bellantoni | Nurse Practitioner | 7030 S Yosemite St, Centennial, CO 80112-2016 | 2019-03-01 |
| 1720566359 | Amy Breen | Family Medicine | 7030 S Yosemite St, Centennial, CO 80112 | 2018-08-06 |
| 1952666059 | Michael James Koch | Chiropractor | 7030 S Yosemite St, Suite 220, Centennial, CO 80112-2026 | 2012-07-05 |
| 1790919520 | Katie Lynn Anderson | Chiropractor | 7030 S Yosemite St, Suite 220, Centennial, CO 80112-2026 | 2009-05-07 |
| 1699928184 | Cela F. Kobel | Physician Assistant | 7030 S Yosemite St, Attn: Credentialing Dept, Centennial, CO 80112-2026 | 2008-10-28 |
| 1194914168 | Raphael J Dangelo | Family Medicine | 7030 S Yosemite St, Centennial, CO 80112-2026 | 2007-10-16 |
| 1801082250 | Mimi Bradley Mcfaul | Psychologist | 7030 S Yosemite St, Centennial, CO 80112-2026 | 2007-09-19 |
| 1972624708 | Anna E. Mcnab | Chiropractor | 7030 S Yosemite St, Centennial, CO 80112-2026 | 2007-04-02 |
| 1144381369 | Todd Lee Odekirk | Chiropractor | 7030 S Yosemite St, Centennial, CO 80112-2026 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
| Find all providers in zip 80112 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494947 | Kate Marie Ziesenheim | Physician Assistant | 6053 S Quebec St Ste 203, Centennial, CO 80111-4505 | 2018-07-24 |
| 1396161139 | Caitlin Ellis | Physician Assistant | 14100 E Arapahoe Rd Ste 170, Centennial, CO 80112-4048 | 2014-03-17 |
| 1275873226 | Ashleigh Rigg | Physician Assistant | 6909 S Holly Cir Ste 150, Centennial, CO 80112-6238 | 2013-02-27 |
| 1548579469 | Rachel Marie Pierson | Physician Assistant | 15464 East Orchard Road, Centennial, CO 80016-3070 | 2010-09-27 |
| 1144558081 | Lori Michelle Stander | Physician Assistant | 6650 S Vine St Ste 100, Centennial, CO 80121-2740 | 2009-12-04 |
| 1922171016 | Denise Marie Ogden | Physician Assistant | 7960 S University Blvd Ste 101, Centennial, CO 80122-3167 | 2006-11-16 |
| 1265083877 | Kara Winans | Physician Assistant | 13111 E Briarwood Ave Ste 250, Centennial, CO 80112-4149 | 2019-09-25 |
| 1295387413 | The Little Clinic of Colorado, LLC | Physician Assistant | 19711 E Smoky Hill Rd, Centennial, CO 80015-5194 | 2019-07-09 |
| 1245728203 | Mary Heather Pein | Physician Assistant | 6801 S Yosemite St, Centennial, CO 80112-1406 | 2018-04-25 |
| 1477064210 | Hannah M Wilson | Physician Assistant | 15464 E Orchard Rd, Centennial, CO 80016 | 2017-10-19 |
| Find all providers in CENTENNIAL | ||||
| City | CENTENNIAL |
| Zip Code | 80112 |
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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.