THE LITTLE CLINIC OF COLORADO LLC (NPI# 1023615820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023615820 |
| Entity Type | Organization |
| Organization Name | THE LITTLE CLINIC OF COLORADO LLC |
| Practice Address |
3100 S Sheridan Blvd Denver CO 80227-5541 |
| Mailing Address |
Po Box 932958 Cleveland OH 44193-0028 |
| Practice Telephone | 3037423179 |
| Mailing Telephone | 8888522567 |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2020-10-05 |
| Authorized Official Name | MARC ROBERT WATKINS (CMO) |
| Authorized Official Telephone | 6154254221 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 9000165040 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312498 | The Little Clinic of Colorado LLC | Physician Assistant | 12959 S Parker Rd, Parker, CO 80134-3447 | 2020-10-08 |
| 1588261374 | The Little Clinic of Colorado LLC | Physician Assistant | 17761 Cottonwood Dr, Parker, CO 80134-3925 | 2020-10-05 |
| 1275130072 | The Little Clinic of Colorado LLC | Physician Assistant | 1750 W Uintah St, Colorado Springs, CO 80904-2926 | 2020-10-05 |
| 1538766340 | The Little Clinic of Colorado LLC | Physician Assistant | 5544 Promenade Pkwy, Castle Rock, CO 80108-1903 | 2020-10-05 |
| 1700483500 | The Little Clinic of Colorado LLC | Physician Assistant | 12167 Sheridan Blvd, Broomfield, CO 80020-2417 | 2020-10-05 |
| 1598362394 | The Little Clinic of Colorado LLC | Physician Assistant | 2100 35th Ave, Greeley, CO 80634-3910 | 2020-10-05 |
| 1043817844 | The Little Clinic of Colorado LLC | Physician Assistant | 3620 Austin Bluffs Pkwy, Colorado Springs, CO 80918-6631 | 2020-10-05 |
| 1861099673 | The Little Clinic of Colorado LLC | Physician Assistant | 2810 Quebec St, Denver, CO 80207-2900 | 2020-10-05 |
| 1679170484 | The Little Clinic of Colorado LLC | Physician Assistant | 1842 N College Ave, Fort Collins, CO 80524-1323 | 2020-10-05 |
| 1821695636 | The Little Clinic of Colorado LLC | Physician Assistant | 1891 State Highway 7, Erie, CO 80516-8003 | 2020-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | The Little Clinic of Colorado LLC | 1014 Vine Street, Cincinnati, OH 45202 |
| Street Address |
3100 S SHERIDAN BLVD |
| City | DENVER |
| State | CO |
| Zip Code | 80227-5541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194063040 | Daniel Rocco Liccione | Pharmacist | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2013-01-28 |
| 1285150797 | Stephanie Jo Griego | Registered Nurse | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2017-08-16 |
| 1730565854 | Trista Figler | Pharmacist | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2015-07-31 |
| 1447648480 | Theresa Chua | Pharmacist | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2014-12-29 |
| 1972937688 | Amanda Noah | Pharmacist | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2013-08-29 |
| 1831533066 | Thomas Tellschow | Pharmacist | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2013-04-18 |
| 1285078535 | Lynn Krygiell | Pharmacist | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2013-04-17 |
| 1447693981 | Nicholas Bradley | Pharmacist | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2013-04-15 |
| 1306289392 | Brian Demartinez | Pharmacist | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2013-04-10 |
| 1356684575 | Alexa N. Le | Pharmacist | 3100 S Sheridan Blvd, Denver, CO 80227-5541 | 2013-04-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541947 | Caroline Nicole Desjardins | Counselor | 2460 W 26th Ave Bldg C Ste 217, Denver, CO 80227 | 2018-03-09 |
| 1689024986 | Ethan Daniel Light | Audiologist | 10881 W. Asbury Ave., Suite 110, Lakewood, CO 80227 | 2016-06-16 |
| 1124476098 | Rachel Patterson | Nurse Practitioner | 3190 S Wadsworth Blvd Ste 250, Lakewood, CO 80227 | 2016-06-01 |
| 1326425901 | Lisa Myers | Social Worker | 2050 S Kipling St, Lakewood, CO 80227 | 2015-05-02 |
| 1497174619 | Pamela Ann Gunn | Registered Nurse | 10631 W. Vassar Place, Lakewood, CO 80227 | 2014-04-15 |
| 1336588912 | Ashlie Bell | Social Worker | 3333 S Wadsworth Blvd Ste 160, Lakewood, CO 80227 | 2013-06-18 |
| 1326336678 | Anna C Ferman | Registered Nurse | 10035 W Dartmouth Ave C207, Lakewood, CO 80227 | 2011-07-20 |
| 1124353701 | Katherine Ream Palomino | Nurse Anesthetist, Certified Registered | 3333 S. Wadsworth Blvd, #d-100, Lakewood, CO 80227 | 2009-10-15 |
| 1457502205 | National Institute for Change, P.C. | Community/Behavioral Health | 3225 S Wadsworth Blvd, Unit T, Lakewood, CO 80227 | 2008-10-09 |
| 1952565996 | Children's Dental Center | Dentist | 2323 South Wadsworth Blvd, Suite #104, Lakewood, CO 80227 | 2008-07-17 |
| Find all providers in zip 80227 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364952 | Shannon Elena Mckenna | Nurse Practitioner | 3047 Lawrence St, Denver, CO 80205-2317 | 2020-10-17 |
| 1306452230 | Daily Apple Clinic, Inc. | Nurse Practitioner | 3570 E 12th Ave Ste 203, Denver, CO 80206-3434 | 2020-09-16 |
| 1619589520 | Kristie Lee Hudson | Nurse Practitioner | 2820 Jasmine St, Denver, CO 80207-2818 | 2020-08-21 |
| 1174134456 | Sarah Hoefert | Nurse Practitioner | 4870 S Jellison St, Denver, CO 80123-2164 | 2020-08-11 |
| 1356951065 | Julianne Johnson | Nurse Practitioner | 1077 Race St Apt 303, Denver, CO 80206-2828 | 2020-08-06 |
| 1073121794 | Sarah M Gavens | Nurse Practitioner | 5091 N Xenia St, Denver, CO 80238-3755 | 2020-07-20 |
| 1992322036 | Lauren Christiansen | Nurse Practitioner | 3101 Blake St Unit 201, Denver, CO 80205-2578 | 2020-07-05 |
| 1699304667 | Jennifer R Mooney, Msn, Aprn-c, LLC | Nurse Practitioner | 3955 E Exposition Ave Ste 100, Denver, CO 80209-5031 | 2020-04-02 |
| 1104453786 | Kaci Hauck | Nurse Practitioner | 7012 E 4th Ave, Denver, CO 80220-6111 | 2020-03-24 |
| 1093351421 | Michael W Watson | Nurse Practitioner | 5250 Leetsdale Dr # 220, Denver, CO 80246-1438 | 2019-11-20 |
| Find all providers in DENVER | ||||
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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.