CARISSA REANNA MARTINEZ (NPI# 1982126595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982126595 |
| Entity Type | Individual |
| Full Name | CARISSA REANNA MARTINEZ |
| Other Name | CARISSA REANNA LOPEZ |
| Credential | FNP |
| Practice Address |
4999 E 119th Ct Thornton CO 80233-6400 |
| Practice Telephone | (303) 842-2653 |
| Mailing Telephone | 3038422653 |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2019-01-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 0200426 | CO | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | 0993330-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6685 Gunpark Dr Ste 102, Boulder, CO 803013343 | 3034155199 | 3034155198 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427440627 | Carissa Martinez | Developmental Therapist | 500 Fairway Dr, Ste. 102, Deerfield Beach, FL 33441-1814 | 2015-02-24 |
| Street Address |
4999 E 119TH CT |
| City | THORNTON |
| State | CO |
| Zip Code | 80233-6400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477018232 | Kantor Dental Group 2, Pllc | Clinic/Center | 11979 Holly St, Thornton, CO 80233 | 2019-02-06 |
| 1841789799 | Alicia Carol | Music Therapist | 3750 E 107th Ave, Thornton, CO 80233 | 2018-05-07 |
| 1750893228 | Lisa Marie Gonzales | Speech-Language Pathologist | 11875 Humboldt Drive, Northglenn, CO 80233 | 2017-10-24 |
| 1205354842 | Ishtar Khan | Registered Nurse | 11064 Clayton Street, Northglenn, CO 80233 | 2017-09-05 |
| 1649727702 | Beth Hale | Counselor | 1104 Eudora Circle, Thornton, CO 80233 | 2016-09-07 |
| 1376090977 | Audrey Holland | Registered Nurse | 2965 East 109th Avenue, Specialty Foot Care LLC, Northglenn, CO 80233 | 2016-09-01 |
| 1962958223 | Northglenn Endoscopy Center LLC | Clinic/Center | 11900 Grant Street, #320, Northglenn, CO 80233 | 2016-08-28 |
| 1518349141 | Ashley Makelky | Registered Nurse | 11427 Cook Court, Denver, CO 80233 | 2015-06-19 |
| 1992115497 | Northglenn Smiles Dentistry and Orthodontics, LLP | Dentist | 100 E 120th Avenue, Unit C130, Northglenn, CO 80233 | 2014-05-06 |
| 1053744136 | Dominic Evan Philpott | Dentist | 10780 N. Washington Ave., Northglenn, CO 80233 | 2013-08-13 |
| Find all providers in zip 80233 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891346177 | Robyn Pitney | Nurse Practitioner | 2012 W 101st Ave, Thornton, CO 80260-6392 | 2019-09-27 |
| 1568024180 | Jamie Befort | Nurse Practitioner | 400 E 84th Ave Ste W-202, Thornton, CO 80229-5326 | 2019-07-03 |
| 1871900308 | Kerry Quinn Schulte | Nurse Practitioner | 8820 Huron Street, Thornton, CO 80260-6805 | 2014-07-16 |
| 1528485778 | Barbara Ruth Ridder-reinig | Nurse Practitioner | 8800 Fox Drive, Thornton, CO 80260 | 2014-03-26 |
| 1720097512 | Daniel Ramirez | Nurse Practitioner | 13835 Milwaukee St, Thornton, CO 80602-8756 | 2006-08-08 |
| 1578552436 | Monica L Fanning | Nurse Practitioner | 9195 Grant St, Suite 100, Thornton, CO 80229-4385 | 2005-10-13 |
| 1255966917 | Lindsey Boswell | Nurse Practitioner | 9195 Grant St Ste 300, Thornton, CO 80229-4386 | 2020-03-03 |
| 1851893648 | Monique Desiree Rule | Nurse Practitioner | 9005 Grant St Ste 200, Thornton, CO 80229-4384 | 2018-03-07 |
| 1831638386 | Maryem Kianinejad | Nurse Practitioner | 8990 Washington St, Thornton, CO 80229-4537 | 2017-02-16 |
| 1497100630 | Dorothea Lorell Erwin | Nurse Practitioner | 8990 Washington St, Thornton, CO 80229-4537 | 2016-04-25 |
| Find all providers in THORNTON | ||||
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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.