KELLY C MACK (NPI# 1982742888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982742888 |
| Entity Type | Individual |
| Full Name | KELLY C MACK |
| Practice Address |
1800 Williams St Suite 200 Denver CO 80218-1234 |
| Mailing Address |
7951 E Maplewood Ave Suite 300 Greenwood Village CO 80111-4723 |
| Practice Telephone | 3033888246 |
| Practice Fax Number | 3038308633 |
| Mailing Telephone | 3039307800 |
| Mailing Fax Number | 3039307860 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 71234 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578896460 | Kelly Mack | Speech-Language Pathologist | 2124 16th St, Boulder, CO 80302-4354 | 2009-09-10 |
| 1215184056 | Kelly Mack | Physical Therapist | 107 Holly Creek Dr, Irmo, SC 29063-8918 | 2008-08-23 |
| 1780702472 | Kelly Wade Mack | Dentist | 2200 Horseshoe Ln, Longview, TX 75605-5648 | 2007-03-27 |
| 1396813960 | Kelly Leigh Mack | Physician Assistant | 995 N. Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678 | 2006-12-01 |
| 1003468273 | Kelly Lynne Mack | Nurse Practitioner | 2215 Burdett Ave, Troy, NY 12180-2466 | 2019-07-09 |
| 1972933646 | Kelly Mack | Physical Therapy Assistant | 44480 W Honeycutt Rd, #106, Maricopa, AZ 85138-2903 | 2013-11-17 |
| 1164692455 | Kelly Jene Mack | Counselor | 3737 Portland Rd Ne, Salem, OR 97301-0311 | 2008-03-03 |
| 1457471542 | Kelly S Mack | Nurse Practitioner | 6001 Research Park Blvd, Madison, WI 53719 | 2007-03-30 |
| 1245308899 | Kelly Anne Mack | Dental Hygienist | 55 E Loop Rd, Grove Dental Assoc Suite 201, Wheaton, IL 60187 | 2006-12-01 |
| Street Address |
1800 WILLIAMS ST SUITE 200 |
| City | DENVER |
| State | CO |
| Zip Code | 80218-1234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134103476 | Robert Melvin Rifkin | Internal Medicine | 1800 Williams St, Ste 200, Denver, CO 80218 | 2005-11-30 |
| 1629589973 | Tracey Way | Nurse Practitioner | 1800 Williams St, 300, Denver, CO 80218-1234 | 2017-10-13 |
| 1700043577 | Lindsay Bramwell | Clinical Nurse Specialist | 1800 Williams St, #300, Denver, CO 80218-1234 | 2008-05-20 |
| 1841493293 | Peter William Schlickman | Pharmacist | 1800 Williams St, Suite 300, Denver, CO 80218 | 2007-06-05 |
| 1336288273 | Anna C Mayer | Physician Assistant | 1800 Williams St, Suite 200, Denver, CO 80218-1234 | 2007-02-06 |
| 1275671166 | Trudy M Rubinson | Nurse Practitioner | 1800 Williams St, Suite 300, Denver, CO 80218-1238 | 2007-02-02 |
| 1588702468 | Monica I Schlatter | Nurse Practitioner | 1800 Williams St, Suite 300, Denver, CO 80218-1238 | 2007-02-02 |
| 1366541294 | Gerald Steven Falchook | Internal Medicine | 1800 Williams St, #300, Denver, CO 80218-1234 | 2006-09-21 |
| 1689686131 | Julie A Elliott | Physician Assistant | 1800 Williams St, Suite 100, Denver, CO 80218 | 2006-08-13 |
| 1063468999 | Alexis R Anthony | Physician Assistant | 1800 Williams St, Ste 300, Denver, CO 80218-1234 | 2006-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| 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 |
|---|---|---|---|---|
| 1295349462 | Katherine Pedersen | Nurse Practitioner | 3827 N Lafayette St, Denver, CO 80205-3339 | 2020-09-03 |
| 1659989465 | Jennifer Erin Buckwalter | Nurse Practitioner | 1415 Garfield St Apt 1, Denver, CO 80206-2760 | 2020-07-17 |
| 1194346601 | Tele Health Np | Nurse Practitioner | 3093 S Florence Ct, Denver, CO 80231-4719 | 2020-05-06 |
| 1467096008 | Dana Lynn Zimmerman Martin | Nurse Practitioner | 4400 Pine Harbor Dr, Denver, NC 28037-8664 | 2019-11-06 |
| 1275180432 | Katherine Marie Sabin | Nurse Practitioner | 100 Cook St Ste 412, Denver, CO 80206-5340 | 2019-08-22 |
| 1962901934 | Laura Howard Burgess | Nurse Practitioner | 6127 Highway 16 South, Denver, NC 28037 | 2018-02-06 |
| 1619417987 | Trier Abeyta | Nurse Practitioner | 6895 E. Hampden Ave., Denver, CO 80224-1309 | 2017-03-06 |
| 1073964664 | Elizabeth Mae Curie | Nurse Practitioner | 1125 17th St Ste 1000, Denver, CO 80202 | 2016-06-25 |
| 1013375856 | Teresa Trabert | Nurse Practitioner | 660 Bannock St # Mc4001, Denver, CO 80204-4506 | 2016-02-08 |
| 1386054385 | Kevin Bradley Murano | Nurse Practitioner | 357 S Corona St, Denver, CO 80209-2427 | 2014-04-30 |
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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.