THE LITTLE CLINIC OF COLORADO LLC (NPI# 1750988556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750988556 |
| Entity Type | Organization |
| Organization Name | THE LITTLE CLINIC OF COLORADO LLC |
| Practice Address |
11747 W Ken Caryl Ave Littleton CO 80127-3700 |
| Mailing Address |
Po Box 932958 Cleveland OH 44193-0028 |
| Practice Telephone | 7209812069 |
| Mailing Telephone | 8888522567 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MARC ROBERT WATKINS (CMO) |
| Authorized Official Telephone | 6154254221 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000165039 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312498 | The Little Clinic of Colorado LLC | Physician Assistant | 12959 S Parker Rd, Parker, CO 80134-3447 | 2020-10-08 |
| 1588261374 | The Little Clinic of Colorado LLC | Physician Assistant | 17761 Cottonwood Dr, Parker, CO 80134-3925 | 2020-10-05 |
| 1023615820 | The Little Clinic of Colorado LLC | Physician Assistant | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2020-10-05 |
| 1275130072 | The Little Clinic of Colorado LLC | Physician Assistant | 1750 W Uintah St, Colorado Springs, CO 80904-2926 | 2020-10-05 |
| 1538766340 | The Little Clinic of Colorado LLC | Physician Assistant | 5544 Promenade Pkwy, Castle Rock, CO 80108-1903 | 2020-10-05 |
| 1700483500 | The Little Clinic of Colorado LLC | Physician Assistant | 12167 Sheridan Blvd, Broomfield, CO 80020-2417 | 2020-10-05 |
| 1598362394 | The Little Clinic of Colorado LLC | Physician Assistant | 2100 35th Ave, Greeley, CO 80634-3910 | 2020-10-05 |
| 1043817844 | The Little Clinic of Colorado LLC | Physician Assistant | 3620 Austin Bluffs Pkwy, Colorado Springs, CO 80918-6631 | 2020-10-05 |
| 1861099673 | The Little Clinic of Colorado LLC | Physician Assistant | 2810 Quebec St, Denver, CO 80207-2900 | 2020-10-05 |
| 1679170484 | The Little Clinic of Colorado LLC | Physician Assistant | 1842 N College Ave, Fort Collins, CO 80524-1323 | 2020-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | The Little Clinic of Colorado LLC | 1014 Vine Street, Cincinnati, OH 45202 |
| Street Address |
11747 W KEN CARYL AVE |
| City | LITTLETON |
| State | CO |
| Zip Code | 80127-3700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144265810 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 11747 W Ken Caryl Ave, Littleton, CO 80127 | 2006-06-18 |
| 1811511793 | Amanda Shepherd | Nurse Practitioner | 11747 W Ken Caryl Ave, Littleton, CO 80127-3700 | 2020-06-05 |
| 1700406899 | Anissa Catherine Schymik | Nurse Practitioner | 11747 W Ken Caryl Ave, Littleton, CO 80127-3700 | 2020-04-20 |
| 1235692492 | Jennifer Benson-feero | Nurse Practitioner | 11747 W Ken Caryl Ave, Littleton, CO 80127-3700 | 2019-04-12 |
| 1962905752 | Sarah Adair | Nurse Practitioner | 11747 W Ken Caryl Ave, Littleton, CO 80127-3700 | 2018-03-17 |
| 1871006288 | Julie Cambruzzi | Pharmacist | 11747 W Ken Caryl Ave, Littleton, CO 80127-3700 | 2017-11-07 |
| 1568914406 | Emily Zawatski | Nurse Practitioner | 11747 W Ken Caryl Ave, Littleton, CO 80127-3700 | 2016-10-26 |
| 1871942979 | Courtney J Kiang | Dietitian, Registered | 11747 W Ken Caryl Ave, Littleton, CO 80127-3700 | 2016-06-09 |
| 1194068387 | Scott Lennick | Pharmacist | 11747 W Ken Caryl Ave, Littleton, CO 80127-3700 | 2013-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275029571 | Victoria Jane Getzen | Physical Therapist | 10239 D W Fair Ave, Littleton, CO 80127 | 2018-07-10 |
| 1720506306 | Nola Lynn Walker Palmer | Registered Nurse | 11052 W. Cooper Drive, Littleton, CO 80127 | 2017-09-05 |
| 1356863922 | Hanna Tarsunova Page | Audiologist | 6578 S Alkire St, Unit 1628, Littleton, CO 80127 | 2017-07-14 |
| 1316307879 | Colleen Imerman | Speech-Language Pathologist | 8 Wild Turkey Lane, Littleton, CO 80127 | 2016-02-26 |
| 1407241011 | Priya Dokken | Pediatrics | 10901 W Toller Dr Ste 101, Littleton, CO 80127 | 2015-03-31 |
| 1003210907 | Denya Wormenor | Counselor | 8420 S. Continental Divide Road #222, Littleton, CO 80127 | 2014-10-21 |
| 1114328150 | Littleton-bowles Medical Center LLC | Clinic/Center | 13351 West Bowles Ave, Littleton, CO 80127 | 2014-09-09 |
| 1417365040 | Amanda Bird | Physician Assistant | 271 West County Line Road, Littleton, CO 80127 | 2014-07-28 |
| 1174933642 | Stacy Hart | Counselor | 8420 S Continental Divide Rd #223, Littleton, CO 80127 | 2014-05-05 |
| 1124443601 | Meredith L. Bremner | Physical Therapist | 6612 S. Ward Street, Littleton, CO 80127 | 2014-02-20 |
| Find all providers in zip 80127 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821903 | Brenna Christie | Nurse Practitioner | 5236 Aspen Leaf Dr, Littleton, CO 80125-9646 | 2020-08-13 |
| 1083250609 | Janna Corbelle | Nurse Practitioner | 5601 S Broadway Ste 460, Littleton, CO 80121-8010 | 2019-11-19 |
| 1811548662 | Sara Lin Manley | Nurse Practitioner | 7299 W Chestnut Dr, Littleton, CO 80128-5699 | 2019-09-24 |
| 1780239707 | Elise M Baker | Nurse Practitioner | 4 W Dry Creek Cir Ste 150, Littleton, CO 80120-8072 | 2019-08-06 |
| 1205490059 | Stephanie Renee Dove | Nurse Practitioner | 5951 Middlefield Rd Ste 102, Littleton, CO 80123-7917 | 2019-04-26 |
| 1780150201 | Shannon M Keane | Nurse Practitioner | 7261 S Broadway Ste 10l, Littleton, CO 80122-8017 | 2018-10-23 |
| 1164977922 | Melissa Musso | Nurse Practitioner | 7780 S Broadway Ste 150, Littleton, CO 80122-2641 | 2016-08-22 |
| 1740647403 | Teresa Zuber | Nurse Practitioner | 5427 S Taft St, Littleton, CO 80127-1557 | 2016-01-25 |
| 1699176412 | Dawn Morris | Nurse Practitioner | 8174 S. Kipling Pkwy #190, C/o Phenix Salon Suite 119, Littleton, CO 80127-6320 | 2014-09-11 |
| 1689011512 | Cynthia Sue Shapiro | Nurse Practitioner | 300 Plaza Drive, Suite 275, Littleton, CO 80129 | 2013-06-01 |
| Find all providers in LITTLETON | ||||
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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.