MS. CONNIE MALLO RANDAZZO (NPI# 1871602664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1871602664 |
Entity Type | Individual |
Full Name | MS. CONNIE MALLO RANDAZZO |
Other Name | CONNIE F MALLO |
Credential | CNS |
Practice Address |
2620 E Prospect Rd Suite 190 Fort Collins CO 80525-9098 |
Practice Telephone | 9702211106 |
Practice Fax Number | 9702321050 |
Mailing Telephone | 9702211106 |
Mailing Fax Number | 9702321050 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2016-05-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
81170 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 87954770 | 05 |
Street Address |
2620 E PROSPECT RD SUITE 190 |
City | FORT COLLINS |
State | CO |
Zip Code | 80525-9098 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154609329 | Integrative Health Consulting | Family Medicine | 2620 E Prospect Rd, Suite 190, Fort Collins, CO 80525-9098 | 2011-07-21 |
1962793232 | Brooke Patricia Schneider | Psychiatry & Neurology | 2620 E Prospect Rd, Fort Collins, CO 80525-9098 | 2011-04-21 |
1528373933 | Cori Ann Ramirez | Psychologist | 2620 E Prospect Rd, Suite 190, Fort Collins, CO 80525-9098 | 2010-08-10 |
1003142589 | Steven P Rondeau | Naturopath | 2620 E Prospect Rd, Suite# 190, Fort Collins, CO 80525-9098 | 2009-10-19 |
1386970861 | Mary F Rondeau | Naturopath | 2620 E Prospect Rd, Suite 190, Fort Collins, CO 80525-9098 | 2009-10-19 |
1154515534 | Eleanor Hickerson | Physical Therapist | 2620 E Prospect Rd, Suite 160, Fort Collins, CO 80525-9098 | 2007-08-29 |
1386850915 | Keith A Meier | Nurse Practitioner | 2620 E Prospect Rd, Suite 160, Fort Collins, CO 80525-9098 | 2007-05-14 |
1003931536 | Bonnie L Downey | Physical Therapist | 2620 E Prospect Rd, Suite 160, Fort Collins, CO 80525-9098 | 2007-03-21 |
1568588945 | Laurie Johnson | Physical Therapist | 2620 E Prospect Rd, Ste 160, Fort Collins, CO 80525-9098 | 2007-03-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
Find all providers in zip 80525 |
Taxonomy Code | 364SP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760596852 | Linda Perrin | Clinical Nurse Specialist | 1217 Riverside Ave, Fort Collins, CO 80524-3218 | 2006-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346369931 | Wayne Thrash | Clinical Nurse Specialist | 2662 Curtis St, Denver, CO 80205-2634 | 2007-03-28 |
1982755351 | Pamela Ann Bricker | Clinical Nurse Specialist | 730 Cheyenne Blvd # 300, Colorado Springs, CO 80905-2423 | 2007-01-14 |
1225186323 | Laura R Mehringer | Clinical Nurse Specialist | 7000 Broadway, Ste 210, Denver, CO 80221-2910 | 2007-01-08 |
1265478630 | Rebecca Ann Howard | Clinical Nurse Specialist | 2200 W Berry Ave, Arapahoe/douglas Mental Health Network, Littleton, CO 80120-1101 | 2006-06-22 |
1992779805 | Carole M Crawford | Clinical Nurse Specialist | 63 E Spaulding Ave, Pueblo West, CO 81007-5416 | 2006-02-15 |
1407836679 | Debora Kay Arrera | Clinical Nurse Specialist | 10350 Dransfeldt Rd, Parker, CO 80134-9673 | 2006-01-21 |
1679112205 | Abbigail Victoria Sidwell | Clinical Nurse Specialist | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2019-12-30 |
1841722030 | Sher Lynn Sauve'-demos | Clinical Nurse Specialist | 2121 S Oneida St, Suite 220, Denver, CO 80224-2549 | 2017-03-28 |
1396026407 | Carolyn Dacres, Rxs, LLC | Clinical Nurse Specialist | 4155 E Jewell Ave Ste 225, Denver, CO 80222-4506 | 2011-09-01 |
1457546814 | Michael James Dougherty | Clinical Nurse Specialist | 3400 Lutheran Pkwy, Wheat Ridge, CO 80033-6035 | 2007-09-10 |
Find all providers with the same taxonomy |
City | FORT COLLINS |
Zip Code | 80525 |
Please comment or provide details below to improve the information on MS. CONNIE MALLO RANDAZZO.
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.