ALEXI RAE LAURSEN (NPI# 1982010104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982010104 |
Entity Type | Individual |
Full Name | ALEXI RAE LAURSEN |
Credential | NP |
Practice Address |
2121 E Harmony Rd Unit 170 Fort Collins CO 80528-3413 |
Practice Telephone | 9704936337 |
Practice Fax Number | 9704933528 |
Mailing Telephone | 9704936337 |
Mailing Fax Number | 9704933528 |
Enumeration Date | 2014-07-08 |
Last Update Date | 2018-03-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0991197 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 97687731 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1839 Laurus Ln, Johnstown, CO 805348348 | 7206847804 |
Street Address |
2121 E HARMONY RD UNIT 170 |
City | FORT COLLINS |
State | CO |
Zip Code | 80528-3413 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720171267 | Caroline S. N. Young | Physician Assistant | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2006-10-02 |
1164030862 | Poudre Valley Medical Group, LLC | Internal Medicine | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2020-07-20 |
1033731138 | Poudre Valley Medical Group, LLC | General Practice | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2020-05-12 |
1831751536 | Kimberly Kinnear | Genetic Counselor, MS | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2019-07-02 |
1477112639 | Poudre Valley Health Care Inc. | Clinic/Center | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2019-06-11 |
1497128243 | Allison Machan Faltermier | Pharmacist | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2015-11-02 |
1548633456 | Vincent Andrew Vidaurri | Pharmacist | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2015-11-02 |
1447622428 | Cara Harshberger | Pharmacist | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2015-10-29 |
1285946525 | Poudre Valley Medical Group, LLC | Internal Medicine | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528-3413 | 2010-07-01 |
1104065218 | Katherine Berdell | Physician Assistant | 2121 E Harmony Rd Unit 170, Fort Collins, CO 80528 | 2009-02-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518475391 | Corinna Kromer | Specialist | 4818 Snowdrift Circle, Fort Collins, CO 80528 | 2018-01-16 |
1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
1790231413 | Pineridge Healthcare, Inc. | Skilled Nursing Facility | 4880 Ziegler Road, Fort Collins, CO 80528 | 2016-09-01 |
1750647244 | Annika Svea Kamberelis | Physician Assistant | 2121 E Harmony Rd Unit 300, Fort Collins, CO 80528 | 2012-04-09 |
1831481944 | Natasha E. Walter-fisk | Counselor | 5225 White Willow Dr. M220, Fort Collins, CO 80528 | 2011-05-07 |
1629216627 | Augusto Miravalle | Psychiatry & Neurology | 2121 E. Harmony Road, Suite 180, Ft Collins, CO 80528 | 2009-01-29 |
1114100252 | Alicia R. Young | Psychologist | 8010 S Country Road 5, Suite 201, Windsor, CO 80528 | 2007-12-12 |
1346446903 | Jill Marie Olson | Psychiatry & Neurology | 2121 E. Harmony Road #180, Fort Collins, CO 80528 | 2007-06-21 |
1437368578 | Shelley M Oliver | Orthopaedic Surgery | 2121 E. Harmony Rd. Ste 290, Fort Collins, CO 80528 | 2007-05-22 |
1174748008 | Light of The Rockies Christian Counseling Center | Clinic/Center | 5236 Strauss Cabin Rd, Fort Collins, CO 80528 | 2007-04-16 |
Find all providers in zip 80528 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376140004 | Laurie Matson | Nurse Practitioner | 2945 Spring Harvest Ln, Fort Collins, CO 80528-3074 | 2020-10-06 |
1598378846 | Lauren Abigail Dieterman | Nurse Practitioner | 6208 Fall Harvest Way, Fort Collins, CO 80528-7242 | 2020-08-26 |
1699385773 | Carl Everett White | Nurse Practitioner | 1101 Oakridge Dr Unit B, Fort Collins, CO 80525-5536 | 2020-08-04 |
1790303873 | Angela Axmann Grabinger | Nurse Practitioner | 617 W Myrtle St, Fort Collins, CO 80521-3633 | 2020-07-06 |
1750917431 | Regina Thompson Loveley | Nurse Practitioner | 1951 Mackinac St, Fort Collins, CO 80524-3680 | 2020-03-13 |
1730714056 | Alba Cristina Riley | Nurse Practitioner | 627 Parker St, Fort Collins, CO 80525-1025 | 2020-03-06 |
1619500667 | Melissa Lynn Klos | Nurse Practitioner | 927 Saddlebrook Ln, Fort Collins, CO 80525-6966 | 2020-02-18 |
1851921050 | Robbie Jill Fendley | Nurse Practitioner | 2121 E Harmony Rd Unit 310, Fort Collins, CO 80528-3403 | 2020-01-16 |
1033757703 | Kelli J Rickett | Nurse Practitioner | 543 S Taft Hill Rd, Fort Collins, CO 80521-3238 | 2019-12-12 |
1689158057 | Rachel Ann Mclean | Nurse Practitioner | 6709 Autumn Ridge Dr Unit 1, Fort Collins, CO 80525-6996 | 2018-09-20 |
Find all providers in FORT COLLINS |
City | FORT COLLINS |
Zip Code | 80528 |
Please comment or provide details below to improve the information on ALEXI RAE LAURSEN.
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.