MATTHEW AUSTIN EARLES (NPI# 1811367139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811367139 |
| Entity Type | Individual |
| Full Name | MATTHEW AUSTIN EARLES |
| Other Name | MATTHEW AUSTIN EARLES |
| Credential | MSN, MBA, FNP-BC |
| Practice Address |
1400 E Boulder St Colorado Springs CO 80909-5533 |
| Mailing Address |
Po Box 173891 Denver CO 80217-3891 |
| Practice Telephone | 7293655000 |
| Practice Fax Number | 3033067753 |
| Mailing Telephone | 3033067783 |
| Mailing Fax Number | 3033067753 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2017-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WE0003X |
Registered Nurse Specialization: Emergency |
102209 | OK | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | APN.0992714.NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
102209 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | NP LICENSE | APN.0992714.NP | 01 |
| Street Address |
1400 E BOULDER ST |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363705 | Pikes Peak Cardiology A Professional LLP | Specialist | 1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533 | 2005-06-01 |
| 1154921906 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-30 |
| 1376143297 | Fabienne Sophie Haas | Student in an Organized Health Care Education/Training Program | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-29 |
| 1255930004 | Poudre Valley Medical Group, LLC | Social Worker | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-22 |
| 1497353247 | Stander Neurology Inc. | General Acute Care Hospital | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-14 |
| 1497378343 | Ashley Marie Griffin | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-27 |
| 1831711944 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
| 1033731120 | Poudre Valley Medical Group, LLC | General Practice | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
| 1548882756 | Jolene Kendall | Pharmacist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-11 |
| 1932720471 | Margaret Porter | Occupational Therapist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| 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 |
|---|---|---|---|---|
| 1891300950 | Autumn Albert | Nurse Practitioner | 1295 Kelly Johnson Blvd Ste 110, Colorado Springs, CO 80920-3978 | 2020-09-14 |
| 1902416233 | Aja Danielle Petracca-lennon | Nurse Practitioner | 1044 Diamond Rim Dr, Colorado Springs, CO 80921-8429 | 2020-08-02 |
| 1558907220 | Jocelyn Reeves | Nurse Practitioner | 818 E Caramillo St, Colorado Springs, CO 80907-7704 | 2019-11-18 |
| 1558911966 | Sara D Campbell | Nurse Practitioner | 607 N Foote Ave, Colorado Springs, CO 80909-4503 | 2019-09-17 |
| 1841842291 | Lux Injectables, LLC | Nurse Practitioner | 4135 New Santa Fe Trl, Colorado Springs, CO 80924-4406 | 2019-07-15 |
| 1912564725 | Colasanto Partners, LLC | Nurse Practitioner | 3445 Limber Pine Ct, Colorado Springs, CO 80920-2407 | 2019-05-28 |
| 1598277220 | Deirdre Raquel Wolf | Nurse Practitioner | 218 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3720 | 2017-11-03 |
| 1720598881 | Danielle Jackson-tross | Nurse Practitioner | 5475 Tech Center Dr, Colorado Springs, CO 80919-2335 | 2017-10-03 |
| 1043754880 | Alethea Hoewisch | Nurse Practitioner | 4110 Briargate Pkwy Ste 465, Colorado Springs, CO 80920-7839 | 2016-12-13 |
| 1619337854 | Jean Schwartz | Nurse Practitioner | 1901 N Union Blvd Ste 105, Colorado Springs, CO 80909-7200 | 2016-03-01 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
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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.