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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 579748YV8 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
2135 Southgate Rd, Colorado Springs, CO 809062605 | 9802138180 |
Street Address |
630 SOUTHPOINTE CT STE 104 |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80906 |
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 |
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 Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
City | COLORADO SPRINGS |
Zip Code | 80906 |
Please comment or provide details below to improve the information on MRS. KATHY L MYATT.
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.