ALEXIS CRISTINE CHARDAVOYNE (NPI# 1124334685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124334685 |
Entity Type | Individual |
Full Name | ALEXIS CRISTINE CHARDAVOYNE |
Credential | PNP-BC |
Practice Address |
13123 E 16th Ave # B140 Aurora CO 80045-7106 |
Practice Telephone | 7207776895 |
Practice Fax Number | 7207777285 |
Mailing Telephone | 7207776895 |
Mailing Fax Number | 7207777285 |
Enumeration Date | 2010-08-23 |
Last Update Date | 2013-10-31 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
004625 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
175782 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 004236346 | 05 |
Street Address |
13123 E 16TH AVE # B140 |
City | AURORA |
State | CO |
Zip Code | 80045-7106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104049873 | Jaimelyn M Kost | Social Worker | 13123 E 16th Ave # B140, Aurora, CO 80045-7106 | 2007-04-11 |
1912386434 | Jillian Ann Green | Pediatrics | 13123 E 16th Ave # B140, Aurora, CO 80045-7106 | 2015-05-29 |
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 | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942767280 | Danielle R Wetzel | Nurse Practitioner | 2040 Ogden Ave Ste 215, Aurora, IL 60504-7205 | 2019-02-22 |
1518395615 | Joan Mackenzie | Nurse Practitioner | 13123 E 16th Ave # B251, Aurora, CO 80045-7106 | 2013-10-29 |
1023283975 | Aimee Kathleen Doran | Nurse Practitioner | 13123 E 16th Ave # B-100, Aurora, CO 80045-7106 | 2008-04-22 |
1831298314 | Alison Fivecoat Conley | Nurse Practitioner | 13123 E 16th Ave # B155, Aurora, CO 80045-7106 | 2006-09-21 |
1497361406 | Chelsea Hartman | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-09-16 |
1710525449 | Jennifer Dianne Coffman | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-12-12 |
1841837382 | Brooke Pfretzschner | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-12-03 |
1932756475 | Kacee Danielle Logsdon | Nurse Practitioner | 13123 E 16th Ave # B100, Aurora, CO 80045-7106 | 2019-08-20 |
1194379032 | Mary Conyers | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-07-29 |
1013560176 | Christine Peyton | Nurse Practitioner | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-07-18 |
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.