KIRSTEN ANNE REVITTE (NPI# 1124636568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124636568 |
| Entity Type | Individual |
| Full Name | KIRSTEN ANNE REVITTE |
| Practice Address |
3002 W Elizabeth St Unit 16b Fort Collins CO 80521-7526 |
| Practice Telephone | 3036385859 |
| Mailing Telephone | 3036385859 |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3002 W ELIZABETH ST UNIT 16B |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80521-7526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386172799 | Seth Lundberg Cowden | Dentist | 1015 S Taft Hill Rd Ste K, Fort Collins, CO 80521 | 2017-05-30 |
| 1184174773 | Alison Butler | Counselor | 320 W. Olive St, Fort Collins, CO 80521 | 2016-10-07 |
| 1134675986 | Above and Beyond Therapy, LLC | Occupational Therapist | 305 W Magnolia St. Pmb #175, Fort Collins, CO 80521 | 2016-08-31 |
| 1053763722 | Jessie Charbonneau | Counselor | 123 Aylesworth Hall, Csuhn Counseling Center, Fort Collins, CO 80521 | 2016-07-06 |
| 1215308861 | Brittany Koehler | Specialist/Technologist | 3002 W. Elizabeth 24f, Fort Collins, CO 80521 | 2015-10-08 |
| 1932538972 | Jessica Miller | Social Worker | 123 Ayleswort Hall Nw, Fort Collins, CO 80521 | 2013-11-08 |
| 1255690715 | Simon Peter Ferraro Dove | Chiropractor | 1302 South Shields, #a1-3, Fort Collins, CO 80521 | 2012-05-03 |
| 1194903153 | Island Grove Regional Treatment Center | Substance Abuse Rehabilitation Facility | 212 W Mountain Avenue, Ft Collins, CO 80521 | 2008-02-01 |
| 1356535975 | Wendy Brumley Lee | Community Based Residential Treatment Facility, Mental Illness | 1644 S. College Avenue, Ft. Collins, CO 80521 | 2007-08-28 |
| 1184833832 | James J Reid LLC | Social Worker | 1220 University Ave, Ft Collins, CO 80521 | 2007-05-21 |
| Find all providers in zip 80521 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124643143 | Mubassara Ahmad | Student in an Organized Health Care Education/Training Program | 2625 Little Bear Ct, Fort Collins, CO 80525-6164 | 2020-06-15 |
| 1760019400 | Elizabeth Carrington | Student in an Organized Health Care Education/Training Program | 1016 Ashford Ct, Fort Collins, CO 80526-3956 | 2020-03-24 |
| 1689239030 | Krista Crump | Student in an Organized Health Care Education/Training Program | 1413 Clementine Ct, Fort Collins, CO 80526-4210 | 2019-05-01 |
| 1295299402 | Silvia Y Sanchez | Student in an Organized Health Care Education/Training Program | 5151 Boardwalk Dr Unit H1, Fort Collins, CO 80525-6246 | 2019-01-22 |
| 1770026288 | Drayden Turman | Student in an Organized Health Care Education/Training Program | 822 W Oak St, Fort Collins, CO 80521-2514 | 2016-12-01 |
| 1851743439 | Jill Harvey | Student in an Organized Health Care Education/Training Program | 4715 Dusty Sage Dr, Unit 4, Fort Collins, CO 80526-3769 | 2016-07-07 |
| 1790113710 | Jina Ahn | Student in an Organized Health Care Education/Training Program | Aylesworth Hall Nw 800 Meridian Dr, Colorado State University, Fort Collins, CO 80523-0001 | 2013-10-30 |
| 1922355650 | Sara Fisher | Student in an Organized Health Care Education/Training Program | 3342 Oregon Trl, Fort Collins, CO 80526-4205 | 2012-08-13 |
| 1467680926 | Nicole Novak | Student in an Organized Health Care Education/Training Program | 1400 Fleetwood Ct, Fort Collins, CO 80521-4057 | 2009-06-23 |
| 1962650952 | Lindsay Miller Vinton | Student in an Organized Health Care Education/Training Program | 1313 Parkwood Dr, Fort Collins, CO 80525-1932 | 2008-09-03 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80521 |
Please comment or provide details below to improve the information on KIRSTEN ANNE REVITTE.
| 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.