JACQUELINE L HOUSE (NPI# 1922429901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922429901 |
| Entity Type | Individual |
| Full Name | JACQUELINE L HOUSE |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
3519 Richmond Dr Fort Collins CO 80526-5995 |
| Practice Telephone | 9702040300 |
| Mailing Telephone | 9702040300 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3519 RICHMOND DR |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80526-5995 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811995459 | Amy L Stump | Pharmacist | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2005-07-08 |
| 1679063069 | Eli Blinn Avery | Nurse Practitioner | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2018-05-11 |
| 1700336773 | Associates In Family Medicine, P.C. | Family Medicine | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2016-10-13 |
| 1053761957 | Ross Sheline | Family Medicine | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2016-06-21 |
| 1982051199 | Michael James Orris | Physician Assistant | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2016-05-17 |
| 1881067403 | Dyan C Thompson | Nurse Practitioner | 3519 Richmond Dr, Fort Collins, CO 80526 | 2015-11-04 |
| 1932509890 | Shaunna Christie Ostrom | Social Worker | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2014-08-28 |
| 1801213079 | Kendra Beeners | Nurse Practitioner | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2014-03-25 |
| 1891055604 | Jennifer L Tanguay | Social Worker | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2012-05-25 |
| 1043588312 | Todd Heron | Physician Assistant | 3519 Richmond Dr, Fort Collins, CO 80526-5995 | 2011-12-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831736057 | Jade Elaine Tilley | Behavior Technician | 3005 Ross Drive Apt V #21, Fort Collins, CO 80526 | 2019-12-06 |
| 1073179131 | Jana Marie Carson | Marriage & Family Therapist | 2001 S. Shields St. Bld K, Ft. Collins, CO 80526 | 2019-05-14 |
| 1467922443 | Marshall Hannum | Occupational Therapist | 2312 Limousin Ct., Fort Collins, CO 80526 | 2018-12-03 |
| 1205326634 | Marlene A Baczek | Acupuncturist | 2001 S. Shields, Bldg B, Ste 2, Fort Collins, CO 80526 | 2018-05-10 |
| 1164922852 | James Joseph Reid | Social Worker | 831 Benthaven St., Ft. Collins, CO 80526 | 2018-02-19 |
| 1982113718 | Friends of L'arche Fort Collins | Community/Behavioral Health | 4500 Seneca St Unit 71, Fort Collins, CO 80526 | 2017-09-25 |
| 1578004313 | Jenessa Dyke | Chiropractor | 2531 S Shields St # 2j-h, Fort Collins, CO 80526 | 2017-03-13 |
| 1588102388 | Sarah Klein | Counselor | 1301 Glen Haven Dr, Fort Collins, CO 80526 | 2017-02-01 |
| 1972046530 | Benu Amun-ra | Non-emergency Medical Transport (VAN) | 4779 Skyline Dr, Ft. Collins, CO 80526 | 2016-11-29 |
| 1205280328 | Abigail Depperschmidt | Physical Therapist | 940 Worthington Circle, Fort Collins, CO 80526 | 2016-04-14 |
| Find all providers in zip 80526 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386244895 | Cheyenne M Zurfluh | Physician Assistant | 1301 Lory St, Fort Collins, CO 80524-4213 | 2020-10-26 |
| 1790382240 | Katherine Kowalk | Physician Assistant | 3108 Bryce Dr, Fort Collins, CO 80525-3119 | 2020-10-07 |
| 1295384766 | Katelyn Feczko | Physician Assistant | 1120 E Elizabeth St Ste 2, Fort Collins, CO 80524-4044 | 2019-09-08 |
| 1750936506 | Stefan Lee | Physician Assistant | 2813 Seccomb St, Fort Collins, CO 80526-6211 | 2019-08-08 |
| 1801372065 | Rachael Mcgaha Miller | Physician Assistant | 837 Columbia Rd, Fort Collins, CO 80525-1837 | 2018-07-11 |
| 1699287953 | Caroline Kelly Tuchowski | Physician Assistant | 2121 E Harmony Rd Unit 360, Fort Collins, CO 80528-3404 | 2017-10-26 |
| 1639543473 | Mh Health Care Services, PC | Physician Assistant | 2310 E Prospect Rd Ste D, C/o Larimer County Employee Health Center, Fort Collins, CO 80525-9770 | 2015-11-17 |
| 1851783435 | Christon Chilen | Physician Assistant | 2950 Brumbaugh Dr, Fort Collins, CO 80526-6231 | 2015-02-19 |
| 1851797104 | Julianna Valdez Taylor | Physician Assistant | 214 N Howes St, Fort Collins, CO 80521-2011 | 2014-11-14 |
| 1356778914 | Reed Mark Soukup | Physician Assistant | 2001 S Shields E101, Fort Collins, CO 80526-1872 | 2013-09-27 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80526 |
Please comment or provide details below to improve the information on JACQUELINE L HOUSE.
| 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.