DR. HEATHER EVE WEDGLE (NPI# 1154596617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154596617 |
| Entity Type | Individual |
| Full Name | DR. HEATHER EVE WEDGLE |
| Credential | PSY.D. |
| Practice Address |
10201 E 3rd Ave Aurora CO 80010-4301 |
| Mailing Address |
4860 Robb St Suite 201 Wheat Ridge CO 80033-2184 |
| Practice Telephone | 3033643364 |
| Mailing Telephone | 3032787418 |
| Mailing Fax Number | 8883415050 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2013-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3350 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 22633235 | 05 | |
| CO | PROFESSIONAL LICENSE | PSY.0003350 | 01 |
| CO | CAQH PIN | 12089362 | 01 |
| Street Address |
10201 E 3RD AVE |
| City | AURORA |
| State | CO |
| Zip Code | 80010-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043303571 | Kindred Nursing Centers West, LLC | Respite Care | 10201 E 3rd Ave, Aurora, CO 80010-4301 | 2006-10-02 |
| 1619486388 | Sweetwater Aurora Opco LLC | Clinic/Center | 10201 E 3rd Ave, Aurora, CO 80010 | 2017-09-26 |
| 1699292896 | Aurora Care Holdings, LLC | Skilled Nursing Facility | 10201 E 3rd Ave, Aurora, CO 80010-4301 | 2017-08-28 |
| 1902348089 | Audra Jeanette Zipple | Speech-Language Pathologist | 10201 E 3rd Ave, Aurora, CO 80010-4301 | 2016-11-07 |
| 1316308026 | Anne Lee | Occupational Therapist | 10201 E 3rd Ave, Aurora, CO 80010-4301 | 2016-03-09 |
| 1295994754 | Becky Archunde | Occupational Therapist | 10201 E 3rd Ave, Aurora, CO 80010-4301 | 2008-06-09 |
| 1285893073 | Debra Marie Boutin | Occupational Therapy Assistant | 10201 E 3rd Ave, Aurora, CO 80010-4301 | 2008-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255991659 | Jennifer Hummer Fisher | Registered Nurse | Dawn Clinic, 1445 Dayton St, Aurora, CO 80010 | 2019-06-18 |
| 1770147662 | Lindsey Grace Torres | Counselor | 1455 Beeler Str., Aurora, CO 80010 | 2019-04-25 |
| 1700359536 | Jose Alberto Diaz Leo | Registered Nurse | 9801 East Colfax, Suite 130, Aurora, CO 80010 | 2019-01-04 |
| 1235617440 | Jose Francisco Gurruchaga | Student in an Organized Health Care Education/Training Program | 1504 Galena St., Aurora, CO 80010 | 2018-07-31 |
| 1659727907 | Nauliate Hutagalung | Case Manager/Care Coordinator | 995 Kenton St, Aurora, CO 80010 | 2016-05-05 |
| 1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
| 1487059614 | Jyoti Sapkota | Counselor | 1537 Alton St., Aurora, CO 80010 | 2014-10-30 |
| 1972925543 | Sonam Khanal | Social Worker | 1537 Alton St, Aurora, Aurora, CO 80010 | 2014-01-15 |
| 1487925665 | Ardas LLC | Clinic/Center | 10180 E Colfax Ave Ste 150, Aurora, CO 80010 | 2012-01-20 |
| 1255666376 | Smile 5 Professionals LLC | Dentist | 10401 East Colfax Ave, Aurora, CO 80010 | 2009-10-07 |
| Find all providers in zip 80010 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980704 | Diana L. Slaviero, Ph.d., P.C. | Psychologist | 75 Executive Dr Ste 429, Aurora, IL 60504-8112 | 2020-07-24 |
| 1164066528 | Cynthia Guadalupe Penne | Psychologist | 2794 Rosehall Ln, Aurora, IL 60503-5682 | 2019-10-29 |
| 1669015913 | Briana Lucia Robustelli | Psychologist | 1700 Wheeling St # 554-116w, Aurora, CO 80045-7211 | 2019-10-18 |
| 1750899910 | Michael W Kirkwood | Psychologist | Dept of Rehab, B285; Children's Hospital Colorado, 13123 E. 16th Ave, Aurora, CO 80045 | 2018-01-22 |
| 1043731409 | Horizon Psychology Services, LLC | Psychologist | 2261 Reflections Dr, Aurora, IL 60502-7310 | 2017-07-06 |
| 1144626888 | Diana Hinojosa | Psychologist | 10680 Del Mar Pkwy, Aurora, CO 80010 | 2014-11-06 |
| 1639597446 | Todd Huenecke | Psychologist | 2135 Colonial St, Aurora, IL 60503-4611 | 2014-03-31 |
| 1932538717 | Erica Stephens | Psychologist | 3131 S Vaughn Way Ste 110, Aurora, CO 80014 | 2013-11-02 |
| 1588942585 | Charles Harrison | Psychologist | 13123 E 16th Ave # B505, Aurora, CO 80045-7106 | 2011-07-26 |
| 1619138070 | Irene Gutierrez Ellis | Psychologist | 2101 S Blackhawk St., Ste 240, Rm 4, Aurora, CO 80014-1475 | 2008-06-18 |
| 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.