MARY SUZANNE MCCUTCHAN (NPI# 1801394473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801394473 |
| Entity Type | Individual |
| Full Name | MARY SUZANNE MCCUTCHAN |
| Other Name | MARY SUZANNE FREEMAN |
| Credential | NP |
| Practice Address |
401 Kokopelli Blvd Ste 1 Fruita CO 81521-3308 |
| Mailing Address |
Po Box 130 Fruita CO 81521-0130 |
| Practice Telephone | 9708582585 |
| Practice Fax Number | 9708582555 |
| Mailing Telephone | 9708582186 |
| Mailing Fax Number | 9708582208 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN.0993306-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APN.0993306-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 551 Kokopelli Blvd Unit H, Fruita, CO 815216305 | 9708582530 | 9708581196 |
| Street Address |
401 KOKOPELLI BLVD STE 1 |
| City | FRUITA |
| State | CO |
| Zip Code | 81521-3308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437142700 | Michael D Rooks | Orthopaedic Surgery | 401 Kokopelli Blvd Ste 1, Fruita, CO 81521-3308 | 2005-08-23 |
| 1326646043 | Lower Valley Hospital Association | Podiatrist | 401 Kokopelli Blvd Ste 1, -practice Location Npi Only-, Fruita, CO 81521-3308 | 2020-10-14 |
| 1659979383 | Lower Valley Hospital Association | Orthopaedic Surgery | 401 Kokopelli Blvd Ste 1, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1326609561 | Jennifer Lee Kimbrow | Specialist/Technologist | 401 Kokopelli Blvd Ste 1, Fruita, CO 81521-3308 | 2019-06-27 |
| 1942534334 | Douglas Goforth | Podiatrist | 401 Kokopelli Blvd Ste 1, Fruita, CO 81521 | 2009-10-01 |
| 1104091438 | Richard Michael Ackerson | Orthopaedic Surgery | 401 Kokopelli Blvd Ste 1, Fruita, CO 81521-3308 | 2008-04-28 |
| 1326157074 | Peter Thomas Scheffel | Orthopaedic Surgery | 401 Kokopelli Blvd Ste 1, Fruita, CO 81521 | 2006-08-29 |
| 1982651634 | Christopher John Copeland | Orthopaedic Surgery | 401 Kokopelli Blvd Ste 1, Fruita, CO 81521-3308 | 2006-05-28 |
| 1982653770 | David J Snover | Specialist/Technologist | 401 Kokopelli Blvd Ste 1, Fruita, CO 81521-3308 | 2006-05-09 |
| 1457300170 | Troy A Griffiths | Podiatrist | 401 Kokopelli Blvd Ste 1, Fruita, CO 81521-3308 | 2006-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070306 | Lower Valley Hospital Association | Psychiatry & Neurology | 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1215535943 | Lower Valley Hospital Association | Clinic/Center | 576 Kokopelli Blvd Unit F, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1851883284 | Rivers End Dental | Clinic/Center | 532 Raptor Road, Unit B, Fruita, CO 81521 | 2018-06-01 |
| 1427404789 | Path-co, LLC | Day Training, Developmentally Disabled Services | 113 Elderberry Drive, Fruita, CO 81521 | 2016-05-05 |
| 1043518822 | Jonathan E Blaha | Chiropractor | 212 E. Aspen Ave, Fruita, CO 81521 | 2011-03-03 |
| 1881916401 | Diana L Wright | Physician Assistant | 456 Kokopelli Blvd, Suite B, Fruita, CO 81521 | 2010-02-23 |
| 1881878759 | Elizabeth Arena Rook | Internal Medicine | 576 Kokopelli Blvd Unit D-e, Fruita, CO 81521 | 2007-12-27 |
| 1073715348 | Milton Bret Mixon | Speech-Language Pathologist | 551 Kokopelli Blvd Unit B, Fruita, CO 81521 | 2007-05-31 |
| 1306063748 | Scott Douglas Lybrook | Dentist | 551 Kokopelli Blvd, Suite A, Fruita, CO 81521 | 2007-04-19 |
| 1316060684 | Carol Bell Lybrook | Dentist | 551 Kokopelli Ave.,suite A, Fruita, CO 81521 | 2007-04-09 |
| Find all providers in zip 81521 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730677139 | Heather Janae Smith | Nurse Practitioner | 551 Kokopelli Blvd Unit H, Fruita, CO 81521-6305 | 2018-05-01 |
| 1194922658 | Eva M Cappiello | Nurse Practitioner | 576 Kokopelli Blvd Unit D, Fruita, CO 81521-6306 | 2007-06-28 |
| 1225005390 | Ona L Ridgway | Nurse Practitioner | 281 N Plum St, Fruita, CO 81521 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235952 | Che Pimentel | Nurse Practitioner | 16067 6030 Rd, Montrose, CO 81403-9609 | 2020-11-08 |
| 1720689789 | Noco New Beginnings | Nurse Practitioner | 1019 39th Ave Ste J, Greeley, CO 80634-2501 | 2020-11-05 |
| 1144827825 | Krs Health LLC | Nurse Practitioner | 3362 Dovetail Dr, Berthoud, CO 80513-8931 | 2020-10-06 |
| 1508471772 | Anne Judd | Nurse Practitioner | 7114 Avondale Rd, Fort Collins, CO 80525-8210 | 2020-09-14 |
| 1891300950 | Autumn Albert | Nurse Practitioner | 1295 Kelly Johnson Blvd Ste 110, Colorado Springs, CO 80920-3978 | 2020-09-14 |
| 1295349462 | Katherine Pedersen | Nurse Practitioner | 3827 N Lafayette St, Denver, CO 80205-3339 | 2020-09-03 |
| 1255944922 | Melissa Mathern | Nurse Practitioner | 7818 S Hill Cir, Littleton, CO 80120-4320 | 2020-08-24 |
| 1902416233 | Aja Danielle Petracca-lennon | Nurse Practitioner | 1044 Diamond Rim Dr, Colorado Springs, CO 80921-8429 | 2020-08-02 |
| 1245849637 | Stacy Shomo | Nurse Practitioner | 1688 Valley Oak Ct, Castle Rock, CO 80104-2211 | 2020-07-30 |
| 1376151902 | Victoria Marie Rallens | Nurse Practitioner | 316 N 3rd Ave, Sterling, CO 80751-3110 | 2020-07-20 |
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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.