MRS. KATHY L MYATT


Address: 630 Southpointe Ct Ste 104, Colorado Springs, CO 80906
Phone: 7192893173

MRS. KATHY L MYATT (NPI# 1053642728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053642728
Entity Type Individual
Full Name MRS. KATHY L MYATT
Credential RN, MSN, PMHNP, BC
Practice Address 630 Southpointe Ct Ste 104
Colorado Springs
CO 80906
Mailing Address 630 Southpointe Ct Ste 104
Colorado Springs
CO 80906-3800
Practice Telephone 7192893173
Mailing Telephone 7192893173
Enumeration Date 2010-01-20
Last Update Date 2019-06-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
C-APN.0000598-C- CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 579748YV8 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
2135 Southgate Rd, Colorado Springs, CO 809062605 9802138180

Office Location

Street Address 630 SOUTHPOINTE CT STE 104
City COLORADO SPRINGS
State CO
Zip Code 80906

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689216327 Melissa Kimberlee Farmer Counselor 630 Southpointe Ct Ste 104, Colorado Springs, CO 80906-3800 2019-10-15
1851874010 Bright Futures Psychiatry LLC Clinic/Center 630 Southpointe Ct Ste 104, Colorado Springs, CO 80906-3800 2018-09-12
1760797054 Ashley Ascherl Pechek Counselor 630 Southpointe Ct Ste 104, Colorado Springs, CO 80906-3800 2010-08-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437797339 Michael Crise Behavior Technician 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 2019-12-11
1730720541 Amanda Salinas Massage Therapist 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 2019-10-02
1225511488 Sheila Meggison Massage Therapist 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 2018-09-12
1316429756 Vivus Counseling Services LLC Counselor 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 2018-09-01
1043796949 Erin Lee Recinos Nurse Practitioner 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 2018-07-13
1982103875 Savannah Adeline Rentrop Behavior Technician 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 2018-02-06
1205335288 Ross Knowlton Behavior Technician 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 2018-02-06
1942709845 Adrienne Bohlen Behavior Technician 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 2018-02-06
1881110088 Christine Gonzales Nurse Practitioner 2739 E Las Vegas St, Colorado Springs, CO 80906 2017-08-18
1225568470 Larry Alwine Counselor 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 2017-06-19
Find all providers in zip 80906

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760009617 Tiffany Taylor Nurse Practitioner 4729 Opus Dr, Colorado Springs, CO 80906-8694 2020-06-26
1053953786 Eileen Deitsch Nurse Practitioner 5353 N Union Blvd Ste 201a, Colorado Springs, CO 80918-2065 2019-10-15
1043796949 Erin Lee Recinos Nurse Practitioner 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 2018-07-13
1114460979 Alison Shapiro, Inc Nurse Practitioner 2020 W Colorado Ave Ste 206, Colorado Springs, CO 80904-3882 2016-11-28
1518376391 Kady Williams Nurse Practitioner 2906 Beacon St Ste A, Colorado Springs, CO 80907-6193 2014-08-06
1437593894 Lewis Wesley Swarthout Jr. Nurse Practitioner 615 S Nevada Ave, Colorado Springs, CO 80903-4005 2013-04-29
1366713679 Psychiatric Services LLC Nurse Practitioner 730 Blackhawk Dr, Colorado Springs, CO 80919-1123 2012-01-18
1407123581 Elena Mikhailovna Z Ollis Nurse Practitioner 3207 N Academy Blvd Ste 3300, Colorado Springs, CO 80917-5100 2011-11-17
1225352479 Mountain Oasis Psychiatric Associates Nurse Practitioner 7305 Chancellor Dr, Colorado Springs, CO 80920-7150 2010-03-17
1841349644 Eileen Spangler Nurse Practitioner 5426 N Academy Blvd Ste 103, Colorado Springs, CO 80918 2007-01-09
Find all providers in COLORADO SPRINGS

Competitor

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City COLORADO SPRINGS
Zip Code 80906

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Dataset Information

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.

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