KAITLYN ELIZABETH RUNNELS (NPI# 1013573997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013573997 |
| Entity Type | Individual |
| Full Name | KAITLYN ELIZABETH RUNNELS |
| Other Name | KAITLYN ELIZABETH MERRILL |
| Credential | RN |
| Practice Address |
1801 16th St Greeley CO 80631-5199 |
| Practice Telephone | 9708104121 |
| Mailing Telephone | 9708104121 |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2019-11-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
1617123 | CO | Nursing Service Providers |
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
0994847-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | APN LICENSE | 0994847-NP | 01 |
| CO | RN LICENSE | 1617123 | 01 |
| CO | 1013573997 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12605 E 16th Ave, Aurora, CO 800452545 | 7208480000 |
| Street Address |
1801 16TH ST |
| City | GREELEY |
| State | CO |
| Zip Code | 80631-5199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252867 | Ronald E Baars | Pharmacist | 1801 16th St, Greeley, CO 80631-5154 | 2005-11-15 |
| 1710585500 | Colten M Bray | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5154 | 2020-10-13 |
| 1588271340 | Becky Lynn Evans | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-25 |
| 1780290452 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-18 |
| 1023624723 | Jarah Adrianna Grashorn | Social Worker | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-17 |
| 1972112035 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 1801 16th St, Greeley, CO 80631-5154 | 2020-07-24 |
| 1831715747 | Sarah Bean | Specialist/Technologist, Other | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-17 |
| 1457975435 | Antonio Costantini | Nurse Anesthetist, Certified Registered | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-04 |
| 1376167569 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-03 |
| 1508480989 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
| 1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
| 1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
| 1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
| 1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
| 1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
| 1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
| 1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
| 1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
| 1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
| Find all providers in zip 80631 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629623517 | Amanda Fuentes | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5199 | 2019-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295359792 | Pediatrix Medical Group of Colorado | Nurse Practitioner | 1455 S Potomac St Ste 207, Aurora, CO 80012-4502 | 2020-06-01 |
| 1265956270 | Joanna Marie Norvil | Nurse Practitioner | 406 W Cannon St, Lafayette, CO 80026-1612 | 2017-08-01 |
| 1922474469 | Manojkumar E Sebastian | Nurse Practitioner | 1375 E 17th Ave, Denver, CO 80218-1550 | 2015-08-19 |
| 1477992956 | Amy Baker Lefkowicz | Nurse Practitioner | 1090 Lilac St, Broomfield, CO 80020-1041 | 2013-06-18 |
| 1922346246 | Susan Ann Yelle | Nurse Practitioner | 212 Maplehurst Pt, Highlands Ranch, CO 80126-5613 | 2013-01-21 |
| 1396016754 | Allyson Ann Stevens | Nurse Practitioner | 113 Cobble Ct, Windsor, CO 80550-6137 | 2012-01-17 |
| 1063790871 | Elise J. Matheny | Nurse Practitioner | 777 Bannock St # 590, Denver, CO 80204-4507 | 2011-07-27 |
| 1194013698 | Brittany Pierce | Nurse Practitioner | 3070 Windjammer Dr, Colorado Springs, CO 80920-4443 | 2011-07-18 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1215164066 | Connie J Rusk | Nurse Practitioner | 13112 Saint Paul Dr, Thornton, CO 80241-2121 | 2009-06-19 |
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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.