NIKISHA CHARLES-STAZZONE (NPI# 1063950590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063950590 |
| Entity Type | Individual |
| Full Name | NIKISHA CHARLES-STAZZONE |
| Credential | CRC |
| Practice Address |
11059 E Bethany Dr Aurora CO 80014-2622 |
| Practice Telephone | 3036172300 |
| Practice Fax Number | 3036172365 |
| Mailing Telephone | 3036172300 |
| Mailing Fax Number | 3036172365 |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2017-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
11059 E BETHANY DR |
| City | AURORA |
| State | CO |
| Zip Code | 80014-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487654463 | Marc Paul Goodman | Psychiatry & Neurology | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2005-07-29 |
| 1699311605 | Angelica Halbert | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-11-25 |
| 1639714231 | Sharon Elaine Bonds | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-11-07 |
| 1598308603 | Salia R Thomas | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-10-21 |
| 1467002022 | Ashley Martin | Student in an Organized Health Care Education/Training Program | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-09-16 |
| 1013561612 | Ashley Rose Dryer | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-07-31 |
| 1295389096 | Elizabeth Healy | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-07-30 |
| 1326692526 | Celia Pope | Counselor | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-07-26 |
| 1710546841 | Ana Rosa Saucedo Lopez | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-06-12 |
| 1780240853 | Emily Carlson | Case Manager/Care Coordinator | 11059 E Bethany Dr, Aurora, CO 80014-2622 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881093 | Lori Lea Samuelson | Specialist | 2481 S Xanadu Way Unit A, Aurora, CO 80014-2141 | 2020-11-03 |
| 1891236253 | Dwight Swift | Specialist | 7568 S Quatar Way, Aurora, CO 80016-7119 | 2017-03-17 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1447604244 | Heather Brox | Specialist | 6155 S Main St # E101, Aurora, CO 80016-5363 | 2016-04-18 |
| 1902262900 | Nakeisha Hill | Specialist | 3587 S Joplin St, Aurora, CO 80013-2432 | 2016-01-06 |
| 1770967986 | Amber Medina | Specialist | 17784 E Arizona Pl, Aurora, CO 80017-4313 | 2015-07-17 |
| 1659754687 | Kathleem Brough | Specialist | 3718 S Himalaya Way, Aurora, CO 80013-6621 | 2015-07-08 |
| 1598147688 | Sarah Gleason | Specialist | 1224 Ironton St, Aurora, CO 80010-3415 | 2015-06-24 |
| 1174903819 | Moses Abraha | Specialist | 950 S Cimarron Way Apt K201, Aurora, CO 80012-4980 | 2015-06-08 |
| 1821496225 | Carla Potvin | Specialist | 6066 S Shawnee St, Aurora, CO 80015-4585 | 2014-12-17 |
| Find all providers in AURORA | ||||
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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.