LORRIE LEE ETENBURN (NPI# 1104111889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104111889 |
| Entity Type | Individual |
| Full Name | LORRIE LEE ETENBURN |
| Credential | CST/CFA |
| Practice Address |
976 Agate Ct Fruita CO 81521-3224 |
| Practice Telephone | 9708126975 |
| Mailing Telephone | 9708126975 |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
976 AGATE CT |
| City | FRUITA |
| State | CO |
| Zip Code | 81521-3224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070306 | Lower Valley Hospital Association | Psychiatry & Neurology | 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1215535943 | Lower Valley Hospital Association | Clinic/Center | 576 Kokopelli Blvd Unit F, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1851883284 | Rivers End Dental | Clinic/Center | 532 Raptor Road, Unit B, Fruita, CO 81521 | 2018-06-01 |
| 1427404789 | Path-co, LLC | Day Training, Developmentally Disabled Services | 113 Elderberry Drive, Fruita, CO 81521 | 2016-05-05 |
| 1043518822 | Jonathan E Blaha | Chiropractor | 212 E. Aspen Ave, Fruita, CO 81521 | 2011-03-03 |
| 1881916401 | Diana L Wright | Physician Assistant | 456 Kokopelli Blvd, Suite B, Fruita, CO 81521 | 2010-02-23 |
| 1881878759 | Elizabeth Arena Rook | Internal Medicine | 576 Kokopelli Blvd Unit D-e, Fruita, CO 81521 | 2007-12-27 |
| 1073715348 | Milton Bret Mixon | Speech-Language Pathologist | 551 Kokopelli Blvd Unit B, Fruita, CO 81521 | 2007-05-31 |
| 1306063748 | Scott Douglas Lybrook | Dentist | 551 Kokopelli Blvd, Suite A, Fruita, CO 81521 | 2007-04-19 |
| 1316060684 | Carol Bell Lybrook | Dentist | 551 Kokopelli Ave.,suite A, Fruita, CO 81521 | 2007-04-09 |
| Find all providers in zip 81521 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881945 | Jaime Brooks | Specialist/Technologist, Other | 7262 S Blackhawk St Apt 8206, Englewood, CO 80112-4023 | 2020-11-04 |
| 1649881723 | Cecilia Flores | Specialist/Technologist, Other | 4245 Basswood Dr, Colorado Springs, CO 80920-6645 | 2020-08-12 |
| 1609486059 | Gregory Franklin Wright | Specialist/Technologist, Other | 2255 Sheridan Blvd Unit C321, Edgewater, CO 80214-1313 | 2020-07-31 |
| 1023635117 | Byron Pollock | Specialist/Technologist, Other | 10798 Madison Way, Northglenn, CO 80233-4482 | 2020-07-06 |
| 1558996736 | Zachary Apu Stroh | Specialist/Technologist, Other | 3215 W 17th Ave, Denver, CO 80204-1909 | 2020-03-07 |
| 1588297162 | John Gines | Specialist/Technologist, Other | 1920 Mainsail Dr, Fort Collins, CO 80524-6707 | 2020-02-21 |
| 1750921136 | Eric Matthew Shelman | Specialist/Technologist, Other | 7286 S Pierce Ct, Littleton, CO 80128-4516 | 2020-01-13 |
| 1033750393 | Liudmila Fernandez | Specialist/Technologist, Other | 4308 S Delighted Cir, Colorado Springs, CO 80917-1500 | 2019-10-07 |
| 1235690363 | Mariha Dawn Miller | Specialist/Technologist, Other | 10200 Park Meadows Dr Unit 1727, Lone Tree, CO 80124-5466 | 2019-03-29 |
| 1477012094 | Wilmer Del Carmen Brizuela Moran | Specialist/Technologist, Other | 1755 S Beeler St Unit 11d, Denver, CO 80247-2913 | 2019-03-13 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LORRIE LEE ETENBURN.
| 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.