MISS AJA DANIELLE PETRACCA-LENNON


Address: 1044 Diamond Rim Dr, Colorado Springs, CO 80921-8429
Phone: 7192250593

MISS AJA DANIELLE PETRACCA-LENNON (NPI# 1902416233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1902416233
Entity Type Individual
Full Name MISS AJA DANIELLE PETRACCA-LENNON
Practice Address 1044 Diamond Rim Dr
Colorado Springs
CO 80921-8429
Practice Telephone 7192250593
Mailing Telephone 7192250593
Enumeration Date 2020-08-02
Last Update Date 2020-08-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner PENDING CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1044 DIAMOND RIM DR
City COLORADO SPRINGS
State CO
Zip Code 80921-8429

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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

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1558911966 Sara D Campbell Nurse Practitioner 607 N Foote Ave, Colorado Springs, CO 80909-4503 2019-09-17
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Competitor

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City COLORADO SPRINGS
Zip Code 80921

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Dataset Information

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.

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