THE LITTLE CLINIC OF COLORADO LLC (NPI# 1821695636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821695636 |
| Entity Type | Organization |
| Organization Name | THE LITTLE CLINIC OF COLORADO LLC |
| Practice Address |
1891 State Highway 7 Erie CO 80516-8003 |
| Mailing Address |
Po Box 932958 Cleveland OH 44193-0028 |
| Practice Telephone | 3037294180 |
| 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 | 9000165847 | 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 |
1891 STATE HIGHWAY 7 |
| City | ERIE |
| State | CO |
| Zip Code | 80516-8003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629411533 | Shannon H Lent | Pharmacist | 1891 State Highway 7, Erie, CO 80516-8003 | 2013-04-10 |
| 1457970097 | Rebecca Ronald | Nurse Practitioner | 1891 State Highway 7, Erie, CO 80516-8003 | 2020-04-14 |
| 1164088597 | Valerie Anne Shade | Nurse Practitioner | 1891 State Highway 7, Erie, CO 80516-8003 | 2019-05-10 |
| 1780144790 | Dacee Tuck | Nurse Practitioner | 1891 State Highway 7, Erie, CO 80516-8003 | 2019-03-25 |
| 1831657493 | Tevin Riley | Nurse Practitioner | 1891 State Highway 7, Erie, CO 80516 | 2019-03-03 |
| 1255830055 | Camille Lynne Herrmann | Nurse Practitioner | 1891 State Highway 7, Erie, CO 80516-8003 | 2018-02-07 |
| 1578091716 | Margaret Clare Gordon | Nurse Practitioner | 1891 State Highway 7, Erie, CO 80516-8003 | 2017-06-01 |
| 1982004982 | Victoria Moxa Xiong Ngialah | Registered Nurse | 1891 State Highway 7, Erie, CO 80516-8003 | 2014-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1790348258 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 685 Briggs St, Erie, CO 80516 | 2019-04-19 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1174041073 | Anna Geheren | Registered Nurse | 764 High St, Erie, CO 80516 | 2017-08-31 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1962959569 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1981 State Hwy 7, Erie, CO 80516 | 2016-09-01 |
| Find all providers in zip 80516 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619715 | Jonathan Thomas | Nurse Practitioner | 1419 Flannagan Ct, Erie, CO 80516-6941 | 2020-11-08 |
| 1255957833 | Nathan Stuart Kerr | Nurse Practitioner | 5043 Peach St, Erie, PA 16509-2032 | 2020-06-19 |
| 1639701428 | Tammy Lynn Black | Nurse Practitioner | 2323 Edinboro Rd, Erie, PA 16509-3476 | 2020-02-10 |
| 1104460518 | Elena Kovalevich | Nurse Practitioner | 333 State St Ste 102, Erie, PA 16507-1466 | 2019-10-30 |
| 1699333419 | Nicole Elizabeth Zmijewski | Nurse Practitioner | 2090 Matty Dr, Erie, MI 48133-9370 | 2019-06-05 |
| 1104390368 | Liqin Zhang | Nurse Practitioner | 1163 Mircos St, Erie, CO 80516-5408 | 2019-01-21 |
| 1003390444 | Tatyana Kryachkov | Nurse Practitioner | 3250 W Lake Rd., Suite 2, Erie, PA 16505-3691 | 2018-09-21 |
| 1487134664 | Jennifer Bechard Marshall | Nurse Practitioner | 411 Pleades Pl, Erie, CO 80516-2568 | 2018-08-17 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1619414331 | Chad Burns | Nurse Practitioner | 3002 W 11th St, Erie, PA 16505-3904 | 2017-01-20 |
| Find all providers in ERIE | ||||
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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.