MRS. KAREN MALOTT GACNIK (NPI# 1871618108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871618108 |
| Entity Type | Individual |
| Full Name | MRS. KAREN MALOTT GACNIK |
| Credential | M.S. CCC-A |
| Practice Address |
712 Fortino Blvd Ste. D Pueblo CO 81008-2084 |
| Practice Telephone | 7195421760 |
| Practice Fax Number | 1795425115 |
| Mailing Telephone | 7195421760 |
| Mailing Fax Number | 1795425115 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231HA2400X |
Audiologist Specialization: Assistive Technology Practitioner |
471 | CO | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RR MEDICARE | P00200291 | 01 |
| Street Address |
712 FORTINO BLVD STE. D |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-2084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487673356 | Steven Ray Clough | Optometrist | 712 Fortino Blvd, Pueblo, CO 81008-2084 | 2006-07-19 |
| 1912116195 | Family Eye Center Incorporated | Optometrist | 712 Fortino Blvd, Pueblo, CO 81008-2084 | 2007-05-22 |
| 1487862835 | Pueblo Audiology Center | Audiologist | 712 Fortino Blvd, Suite D, Pueblo, CO 81008-2084 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 231HA2400X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| Specialization | Assistive Technology Practitioner |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487786406 | Renee Hadad Cichon | Audiologist | 3595 E Spaulding Ave Ste A, Pueblo, CO 81008-2208 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285852897 | Theresa A Mcginn-brunelli | Audiologist | 1020 S Dudley St, Lakewood, CO 80226-4238 | 2007-04-22 |
| 1801915277 | Beth Butterly O'brien | Audiologist | 12891 E Vassar Dr, Power Up Learning, LLC, Aurora, CO 80014-1951 | 2007-03-28 |
| 1730795717 | Doctor Denisons Hearing Institute LLC | Audiologist | 16205 W 64th Ave Ste B3, Arvada, CO 80007-7401 | 2020-09-16 |
| 1306461199 | Colorado Ear Care LLC | Audiologist | 445 Union Blvd Ste 124, Lakewood, CO 80228-1239 | 2020-06-08 |
| 1801102645 | Nosoma Audiology, LLC | Audiologist | 2902 Ginnala Dr Ste 3, Loveland, CO 80538-7818 | 2010-08-30 |
| 1770630410 | Stacy Dawn Claycomb | Audiologist | 1635 Ursula St, Suite 6200, Aurora, CO 80045-2541 | 2007-01-04 |
Please comment or provide details below to improve the information on MRS. KAREN MALOTT GACNIK.
| 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.