DR. KOSUKE NIITSU (NPI# 1073059259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073059259 |
| Entity Type | Individual |
| Full Name | DR. KOSUKE NIITSU |
| Credential | PHD, APN, PMHNP-BC |
| Practice Address |
12348 East Mountview Bldv 2nd Floor Aurora CO 80045 |
| Mailing Address |
13120 East 19th Ave C-288-5 Aurora CO 80045 |
| Practice Telephone | 3037246242 |
| Practice Fax Number | 3037249213 |
| Mailing Telephone | 3037248555 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2018-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
C-APN.0000823-C- | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
111689 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
G145896 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12348 EAST MOUNTVIEW BLDV 2ND FLOOR |
| City | AURORA |
| State | CO |
| Zip Code | 80045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| 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 |
|---|---|---|---|---|
| 1528678372 | Chelsey Mcfaddin | Nurse Practitioner | 14221 E 4th Ave # 2-126, Aurora, CO 80011-8735 | 2020-08-06 |
| 1871134106 | Jamie Marie Cutright | Nurse Practitioner | 14221 E 4th Ave Ste 2-330, Aurora, CO 80011-8735 | 2019-10-08 |
| 1710534409 | Billie Jo Morgan | Nurse Practitioner | 14221 E 4th Ave Unit 2-330, Aurora, CO 80011-8735 | 2019-08-19 |
| 1922570191 | Bailie Cronin Aprn LLC | Nurse Practitioner | 10939 E 25th Dr, Aurora, CO 80010-1200 | 2018-12-27 |
| 1487014338 | Kerry Ann Peterson | Nurse Practitioner | 13120 E 19th Ave # C288-5, Aurora, CO 80045-2567 | 2016-03-03 |
| 1154780757 | Michael K Chism II | Nurse Practitioner | 14221 E 4th Ave Ste 2-126, Aurora, CO 80011-8735 | 2016-02-11 |
| 1679822530 | Mary Elizabeth Waggoner | Nurse Practitioner | 14211 E 4th Ave # 3-138, Aurora, CO 80011-8736 | 2012-09-06 |
| 1568692408 | Rachel Joanna Griffin | Nurse Practitioner | 13199 E Montview Blvd Ste 330, Mail Stop F550, Aurora, CO 80045-7209 | 2009-07-24 |
| 1851304216 | Nicole Brodrick | Nurse Practitioner | 13120 E 19th Ave, Aurora, CO 80045-2567 | 2006-08-15 |
| 1750903290 | Melissa Joy Stefanowicz | Nurse Practitioner | 400 N Highland Ave, Aurora, IL 60506-3814 | 2020-05-06 |
| 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.