VICKI SAGRILLO (NPI# 1154309912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154309912 |
| Entity Type | Individual |
| Full Name | VICKI SAGRILLO |
| Credential | CPNP |
| Practice Address |
6190 Barnes Rd Colorado Springs CO 80922-2600 |
| Practice Telephone | 7195964502 |
| Practice Fax Number | 7195972668 |
| Mailing Telephone | 7195964502 |
| Mailing Fax Number | 7195972668 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
63638 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE LICENSE | 63638 | 01 |
| Street Address |
6190 BARNES RD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80922-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861494155 | Edward T Kimble | Specialist | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2005-06-01 |
| 1053919365 | Buck Jack LLC | Behavioral Analyst | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-10-09 |
| 1619574282 | Amy Shandy, Speech-language Pathologist, LLC | Behavioral Analyst | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-10-06 |
| 1518572841 | Amy Shandy, Speech-language Pathologist, LLC | Psychologist | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-09-14 |
| 1427663756 | Amy Shandy, Speech-language Pathologist, LLC | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-09-14 |
| 1417562323 | Michaela Harris | Behavioral Analyst | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-09-09 |
| 1215548425 | Buck Jack LLC | Behavioral Analyst | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-08-11 |
| 1619587409 | Buck Jack LLC | Behavioral Analyst | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-08-06 |
| 1669080719 | Esther L Bednar | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-07-15 |
| 1679191670 | Elizabeth Dandino | Behavior Technician | 6190 Barnes Rd, Colorado Springs, CO 80922-2600 | 2020-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662709 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - Md, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1578177895 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - App, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1528566965 | Caitlin Corbeit Kroetsch | Massage Therapist | 5349 Ferraro Drive, Colorado Springs, CO 80922 | 2018-01-31 |
| 1154861169 | Miriam Freire | Dental Hygienist | 3759 Swainson Dr., Colorado Springs, CO 80922 | 2017-02-24 |
| 1528507712 | Brandon Hutchinson | Social Worker | 6972 Hillock Fr, Colorado Springs, CO 80922 | 2017-02-21 |
| 1841648052 | Delene Suzuki Babauta | Dental Assistant | 7279 Withers Pl, Colorado Springs, CO 80922 | 2016-05-27 |
| 1225442601 | Betsy Titus | Physical Therapy Assistant | 6355 Silverado Trl, Colorado Springs, CO 80922 | 2014-06-13 |
| 1255754214 | Lynor Dicang Hardy | Military Health Care Provider | Cheyenne Mountain Air Station, Colorado Springs, CO 80922 | 2014-01-28 |
| 1861774184 | North Powers Modern Dentistry, LLP | Dentist | 5430 Tutt Boulevard, Colorado Springs, CO 80922 | 2011-09-13 |
| 1255589297 | Kendra D Robison | Internal Medicine | 6340 E Barnes Road, Colorado Springs Health Partners Internal Medicine, Colorado Springs, CO 80922 | 2008-09-03 |
| Find all providers in zip 80922 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417355264 | Sharman Ruth Hankins | Nurse Practitioner | 2875 Traverse Ct, Colorado Springs, CO 80916-4305 | 2014-12-10 |
| 1487887998 | Lisa M. Day | Nurse Practitioner | 13128 Thumbprint Ct, Colorado Springs, CO 80921-7224 | 2009-08-31 |
| 1619193893 | Tami Lynne Kephart | Nurse Practitioner | 4125 Briargate Blvd, Colorado Springs, CO 80920-3490 | 2007-04-17 |
| 1790832863 | Robyn Rae Suiter | Nurse Practitioner | 3190 E Las Vegas St, Colorado Springs, CO 80906-8002 | 2007-01-04 |
| 1164417028 | Dawn Carol Chapelle Neal | Nurse Practitioner | 5353 N Union Blvd # 201a, Colorado Springs, CO 80918 | 2005-09-16 |
| 1528525458 | Amanda Chin | Nurse Practitioner | 6071 E Woodmen Rd Ste 225, Colorado Springs, CO 80923-2611 | 2019-02-27 |
| 1649757485 | Joelynn Marie Cartmell | Nurse Practitioner | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2018-07-24 |
| 1548774284 | Lindsey Peters | Nurse Practitioner | 402 N Tejon St Ste 200, Colorado Springs, CO 80903-1142 | 2017-11-16 |
| 1598215519 | Caroline Yurchak | Nurse Practitioner | 6985 Tutt Blvd Ste 100, Colorado Springs, CO 80923-3588 | 2016-10-13 |
| 1366999500 | Kristen J Padgett | Nurse Practitioner | 4090 Briargate Pkwy, Colorado Springs, CO 80920 | 2016-09-06 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80922 |
Please comment or provide details below to improve the information on VICKI SAGRILLO.
| 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.