DR. KATHLENE SUE WALLER (NPI# 1023027778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023027778 |
| Entity Type | Individual |
| Full Name | DR. KATHLENE SUE WALLER |
| Credential | M.D. |
| Practice Address |
Hartshorn Health Service Colorado State University Fort Collins CO 80523-8031 |
| Practice Telephone | 9704917121 |
| Practice Fax Number | 9704910226 |
| Mailing Telephone | 9704917121 |
| Mailing Fax Number | 9704910226 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
30233 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
HARTSHORN HEALTH SERVICE COLORADO STATE UNIVERSITY |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80523-8031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457395188 | Laurie Lynn Elwyn | Family Medicine | Hartshorn Health Service, Colorado State University, Fort Collins, CO 80523-8031 | 2006-06-15 |
| 1871749564 | Monica Lynn Smith | Massage Therapist | Hartshorn Health Service, Colorado State University, Fort Collins, CO 80523-0001 | 2008-08-13 |
| 1639325889 | Kerri Lynn Minatre | Massage Therapist | Hartshorn Health Service, Colorado State University, Fort Collins, CO 80523-0001 | 2008-08-07 |
| 1972716611 | Tanja Andreas | Nurse Practitioner | Hartshorn Health Service, Colorado State University, Fort Collins, CO 80523-8031 | 2007-05-08 |
| 1518187301 | Colorado State University Hartshorn Health Service | Registered Nurse | Hartshorn Health Service, Fort Collins, CO 80523-0001 | 2007-04-26 |
| 1114055985 | Mary Harbert Hill | Nurse Practitioner | Hartshorn Health Service, Colorado State University, Fort Collins, CO 80523-8031 | 2007-03-01 |
| 1063457455 | Jane A. Higgins | Family Medicine | Hartshorn Health Service, Colorado State University, Fort Collins, CO 80523-0001 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205383833 | Jessica Morse | Counselor | 123 Aylesworth Nw Csu Health Network, Colorado State University, Fort Collins, CO 80523 | 2016-09-01 |
| 1457764813 | Elizabeth Eli | Specialist | 1500 S Lemay Ave, Fort Collins, CO 80523 | 2014-06-03 |
| 1124365473 | Susan Taylor-johnson | Counselor | 800 Meridian Drive, Fort Collins, CO 80523 | 2013-01-07 |
| 1336440551 | Michelle Truex | Pharmacist | Csu Health Network Pharmacy Campus Delivery 8031, Fort Collins, CO 80523 | 2010-11-04 |
| 1942306329 | Allison Marie Rottini | Psychologist | 123 Nw Aylesworth, Csu Health Network, Fort Collins, CO 80523 | 2006-09-15 |
| 1124527593 | Adam-jon Aparicio | Counselor | 151 West Lake Street, Counseling Services, Fort Collins, CO 80523 | 2018-02-12 |
| 1639528102 | Gilda Olivia Rios | Counselor | 123 Aylesworth Hall Nw, Department 8010, Fort Collins, CO 80523 | 2016-06-06 |
| 1316360365 | Lori Stevens | Registered Nurse | 600 South Drive, Fort Collins, CO 80523 | 2014-01-28 |
| 1346532751 | Carol W Clark | Registered Nurse | 600 South Drive, Fort Collins, CO 80523 | 2011-05-04 |
| 1487850657 | Cheryl Ann Schiager | Registered Nurse | 600 South Drive, Colorado State University, Fort Collins, CO 80523 | 2007-06-25 |
| Find all providers in zip 80523 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
| 1275738510 | Cornerstone Pediatrics Associates | Pediatrics | 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 | 2007-06-18 |
| 1033254974 | Michael Dennis Rudnick | Pediatrics | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2007-02-20 |
| 1710059381 | Michael Andrew Spaulding-barclay | Pediatrics | 8140 E 5th Ave, Denver, CO 80230-6492 | 2006-11-15 |
| 1225100324 | Susan Elizabeth Damon | Pediatrics | 6909 S Holly Cir Ste 260, Centennial, CO 80112-6248 | 2006-11-14 |
| 1780755223 | James J Harrington IIi | Pediatrics | 10901 W Toller Dr, Suite #101, Littleton, CO 80127-6312 | 2006-11-13 |
| 1831282508 | David Woodburne Wells | Pediatrics | 4143 S Julian Way, Denver, CO 80236-3101 | 2006-10-02 |
| 1417906355 | Ronald Mcree Eagar | Pediatrics | 8463 E Mansfield Ave, Denver, CO 80237-1724 | 2006-05-08 |
| 1598724445 | Ovidio Bernabe Bermudez | Pediatrics | 8140 E 5th Avenue, Eating Recovery Center, Denver, CO 80230-6492 | 2006-03-20 |
| 1932187804 | Rita E Thieme | Pediatrics | 1001 S Perry St, Suite 101b, Castle Rock, CO 80104-2668 | 2006-01-02 |
| Find all providers with the same taxonomy | ||||
| City | FORT COLLINS |
| Zip Code | 80523 |
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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.