COUNTRYSIDE HEALTH & WELLNESS LLC (NPI# 1811266125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811266125 |
| Entity Type | Organization |
| Organization Name | COUNTRYSIDE HEALTH & WELLNESS LLC |
| Practice Address |
1499 W 120th Ave Suite 130 Westminster CO 80234-2995 |
| Practice Telephone | 3032556980 |
| Practice Fax Number | 3032556899 |
| Mailing Telephone | 3032556980 |
| Mailing Fax Number | 3032556899 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |
| Authorized Official Name | DR. SHANE W LEAR (OWNER) |
| Authorized Official Telephone | 3032556980 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 6683 | CO | Chiropractic Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Countryside Health & Wellness LLC | 12001 Pecos St, Westminster, CO 80234 |
| Street Address |
1499 W 120TH AVE SUITE 130 |
| City | WESTMINSTER |
| State | CO |
| Zip Code | 80234-2995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467541276 | Michael Wayne Cartwright | Chiropractor | 1499 W 120th Ave, Suite 130, Westminster, CO 80234-2751 | 2006-10-11 |
| 1336494038 | Kristen Elizabeth Giltinan | Psychologist | 1499 W 120th Ave, Ste. 230, Westminster, CO 80234-2751 | 2012-07-18 |
| 1225267883 | Colorado Psychiatry Center, PC | Clinic/Center | 1499 W 120th Ave, Suite 230, Westminster, CO 80234-2751 | 2009-07-03 |
| 1083819296 | Virginia R Thomas | Licensed Practical Nurse | 1499 W 120th Ave, Suite 230, Westminster, CO 80234-2751 | 2007-06-18 |
| 1619005048 | Imaging Group, LLC | Radiology | 1499 W 120th Ave, Westminster, CO 80234-2751 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375115 | Jeanne Weintraub | Counselor | Griffith Centers for Children, 10465 Melody Dr Suite 325, Northglenn, CO 80234 | 2020-08-07 |
| 1992273916 | Physicians Wellness Associates Pllc | Family Medicine | 12213 Pecos Street, Suite 700, Westminster, CO 80234 | 2018-11-07 |
| 1114409638 | Selathia Chestnut | Behavior Technician | 11698 Huron St., #106, Northglenn, CO 80234 | 2018-08-30 |
| 1194271478 | Alyssa Cure | Occupational Therapist | 11160 Huron Street, Suite 200, Northglenn, CO 80234 | 2016-08-28 |
| 1316492911 | The Hearing & Tinnitus Center | Audiologist-Hearing Aid Fitter | 1001 W. 120th Ave Suite 214, Westminster, CO 80234 | 2016-08-24 |
| 1386005791 | Rachel T Kraut | Registered Nurse | 1401 W 122nd Ave Ste 200, Westminster, CO 80234 | 2016-03-11 |
| 1780064469 | Mountain View Dental Northgleen LLC | Dentist | 421 W. 104th Ave, Suite 201, Northglenn, CO 80234 | 2015-06-08 |
| 1770902876 | Lisa Lorenzen | Specialist | 12172 Melody Drive, Westminster, CO 80234 | 2014-04-16 |
| 1306279492 | Jennifer Nicole Dahlke | Speech-Language Pathologist | 12201 Pecos St., Suite 200, Westminster, CO 80234 | 2013-08-13 |
| 1336588490 | America's Best Contacts & Eyeglasses | Technician/Technologist | 521 W 104th Ave, Suite J, Northglenn, CO 80234 | 2013-06-21 |
| Find all providers in zip 80234 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904023 | 100 Chiro Peterson Three LLC | Chiropractor | 5714 W 89th Ave, Westminster, CO 80031 | 2020-08-28 |
| 1598274524 | Robert Lizak | Chiropractor | 10430 Holland Pl, Westminster, CO 80021-3840 | 2017-09-21 |
| 1801273610 | Abigail Jackson | Chiropractor | 4 Amber Rd, Westminster, MA 01473-1149 | 2015-04-30 |
| 1477945830 | Sandy Harrison | Chiropractor | 9035 Wadsworth Pkwy Ste 3300, Westminster, CO 80021-8625 | 2015-02-23 |
| 1487064549 | Tri Do Nguyen | Chiropractor | 10292 Wembley Cir, Westminster, CA 92683-5847 | 2014-04-29 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1588094353 | Daniel Francis | Chiropractor | 13648 Orchard Pkwy Unit 800, Westminster, CO 80023-9263 | 2013-11-15 |
| 1689919789 | Huy Doan Chiropractic, Inc | Chiropractor | 10512 Bolsa Ave Ste 101, Westminster, CA 92683-6727 | 2012-12-01 |
| 1043569171 | Lindsey Green | Chiropractor | 2861 W 120th Ave Ste 220, Westminster, CO 80234-2985 | 2012-09-05 |
| 1407144223 | Cheri Renee Hollstrom | Chiropractor | 3889 W 103rd Dr, Westminster, CO 80031-2453 | 2011-07-13 |
| Find all providers in WESTMINSTER | ||||
| City | WESTMINSTER |
| Zip Code | 80234 |
Please comment or provide details below to improve the information on COUNTRYSIDE HEALTH & WELLNESS LLC.
| 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.