GRACE CANON (NPI# 1932642444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932642444 |
| Entity Type | Individual |
| Full Name | GRACE CANON |
| Practice Address |
1400 E Boulder St Ste 2508 Colorado Springs CO 80909 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 7193656999 |
| Practice Fax Number | 7193652837 |
| Mailing Telephone | 9706244034 |
| Mailing Fax Number | 9704904347 |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2019-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367H00000X | Anesthesiologist Assistant | ANT.0000107 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367H00000X | Anesthesiologist Assistant | 008194 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Johnson Ferry Rd, Atlanta, GA 303421606 | 7706459181 |
| Street Address |
1400 E BOULDER ST STE 2508 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386649945 | Andrea L Croshal | Physician Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2005-06-20 |
| 1629692108 | Erica Sherry | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2020-06-01 |
| 1609405844 | Poudre Valley Medical Group, LLC | Anesthesiology | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2020-04-08 |
| 1689204711 | Sara Bozzi | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2020-01-16 |
| 1639640550 | Erica Breanne Lingenfield | Registered Nurse | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2018-12-17 |
| 1689194805 | Andrew Briggs | Nurse Anesthetist, Certified Registered | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 | 2017-06-20 |
| 1548700370 | Romelyn Briggs | Nurse Practitioner | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2017-02-27 |
| 1235582339 | Warren Beck | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2016-07-13 |
| 1518318294 | Carter Mohnssen | Anesthesiology | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2016-06-24 |
| 1699160838 | Alexandru Alexa | Anesthesiology | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909 | 2015-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| Taxonomy Code | 367H00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Anesthesiologist Assistant |
| An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629692108 | Erica Sherry | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2020-06-01 |
| 1689204711 | Sara Bozzi | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2020-01-16 |
| 1346895083 | Alexis Reuschel | Anesthesiologist Assistant | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2019-08-08 |
| 1356813612 | Charlotte Rebecca Johnson | Anesthesiologist Assistant | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2018-12-27 |
| 1235582339 | Warren Beck | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2016-07-13 |
| 1093115701 | Jennifer Brethower | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2014-08-29 |
| 1265780092 | Benjamin M Durtschi | Anesthesiologist Assistant | 1400 E Boulder St Ste 2508, Colorado Springs, CO 80909-5533 | 2012-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417561663 | Jason Chrobak | Anesthesiologist Assistant | 3311 E 12th Ave, Denver, CO 80206-3412 | 2020-09-04 |
| 1922637552 | Aaron Joseph Rushing | Anesthesiologist Assistant | Us Anesthesia Partners of Colorado, Inc, 8000 E. Maplewood Ave., Suite 200, Greenwood Village, CO 80111 | 2020-04-06 |
| 1114462017 | Mark Christopher Moore | Anesthesiologist Assistant | 8000 E Maplewood Ave Bldg 5, Ste. 200, Greenwood Village, CO 80111-4766 | 2016-12-30 |
| 1801494620 | Elan Webb | Anesthesiologist Assistant | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-10-14 |
| 1174163232 | Reeve Lewis Sanders | Anesthesiologist Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2020-01-07 |
| 1538707757 | Ryan James Quigg | Anesthesiologist Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2019-12-18 |
| 1497399174 | Karen Payne Turner | Anesthesiologist Assistant | 12401 E 17th Ave Fl 7, Aurora, CO 80045-2548 | 2019-11-05 |
| 1750924098 | Serena Younes | Anesthesiologist Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2019-10-18 |
| 1538632484 | Jordi Garcia-timko | Anesthesiologist Assistant | 12401 E 17th Ave, Aurora, CO 80045-2548 | 2019-01-03 |
| 1194296061 | Nicole Boerema | Anesthesiologist Assistant | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2018-12-17 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80909 |
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| 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.