SHELLLY SERFOSS


Address: 515 E Drake Rd Apt A114, Fort Collins, CO 80525-4630
Phone: 9703802711

SHELLLY SERFOSS (NPI# 1932562386) 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) 1932562386
Entity Type Individual
Full Name SHELLLY SERFOSS
Practice Address 515 E Drake Rd Apt A114
Fort Collins
CO 80525-4630
Practice Telephone 9703802711
Mailing Telephone 9703802711
Enumeration Date 2016-04-03
Last Update Date 2016-04-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171W00000X Contractor CO Other Service Providers

Office Location

Street Address 515 E DRAKE RD APT A114
City FORT COLLINS
State CO
Zip Code 80525-4630

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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
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Taxonomy Information

Taxonomy Code 171W00000X
Grouping Other Service Providers
Classification Contractor

Taxonomy Definition

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).
Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629679832 Kristen Marie Caporelli Contractor 5044 Cinquefoil Ln Unit G, Fort Collins, CO 80528-4522 2020-11-04
1225573801 Visiting Therapists, LLC Contractor 2219 Stillwater Creek Dr, Fort Collins, CO 80528-8513 2017-01-05
1659654069 Elizabeth Dennison Contractor 4408 Jfk Pkwy, Unit E-104, Fort Collins, CO 80525-3274 2011-09-21
1114347010 Denise Mary Vondra Contractor 1644 S College Ave, Fort Collins, CO 80525-1007 2014-04-18
1316297047 Jamye L.d. Richardson Contractor 1217 Riverside Ave, Fort Collins, CO 80524-3218 2012-09-10

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1477167393 Ema Consultants Contractor 441 W Venturi Dr, Pueblo, CO 81007-3691 2020-09-08
1710519798 Stacey Lynn Pooser Contractor 3022 Fall Ln, Highlands Ranch, CO 80126-3225 2020-02-07
1245891100 Chagoll Brown Contractor 9736 Wando Dr, Colorado Springs, CO 80925-8447 2019-06-21
1831757681 Aim Design & Development, LLC Contractor 16 Redondo Ln, Pueblo, CO 81005-2953 2019-06-05
1114485679 Dana Kirby Vanmarter Contractor 329 Belleview Ave, Ste C, Crested Butte, CO 81224 2019-03-04
1467917708 Jill C Steele Contractor 805 W Tomichi Ave Ste B, Gunnison, CO 81230-3478 2019-01-31
1548753049 Ay Transitions Contractor 2321 Olive St, Denver, CO 80207-3540 2018-06-08
1225529688 David Andrew Martin Contractor 15310 Cr T.37, La Jara, CO 81140 2018-05-22
1043700917 Mile High Limo Midwest LLC. Contractor 1218 S Carson Way, Aurora, CO 80012-4643 2018-05-15
1922502038 Custom Construction Services Contractor 5225 Sodbuster Trl, Colorado Springs, CO 80917-1817 2018-03-22
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Competitor

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City FORT COLLINS
Zip Code 80525

Improve Information

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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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