MS. MACK ABERNATHY (NPI# 1184078180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184078180 |
| Entity Type | Individual |
| Full Name | MS. MACK ABERNATHY |
| Practice Address |
11059 E Bethany Dr Ste 200 Aurora CO 80014-2637 |
| Practice Telephone | 3036172300 |
| Practice Fax Number | 3036172397 |
| Mailing Telephone | 3036172300 |
| Mailing Fax Number | 3036172397 |
| Enumeration Date | 2016-04-16 |
| Last Update Date | 2016-04-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | O97820701 | 05 |
| Street Address |
11059 E BETHANY DR STE 200 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-2637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134149057 | Aurora Comprehensive Community Mental Health Center Inc | Clinic/Center | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2006-07-21 |
| 1235787813 | Jamie Lynn Underwood | Social Worker | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-08-28 |
| 1417501446 | Gabriella Guy | Social Worker | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-07-29 |
| 1285298786 | Kathy Cruse Tiger | Peer Specialist | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-04-30 |
| 1922661123 | Ayat Farajalla | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-04-15 |
| 1124582846 | Aster Eyob | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2019-01-27 |
| 1619447869 | Jennifer King | Social Worker | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2018-11-30 |
| 1831668615 | Micah Barnes | Counselor | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2018-11-21 |
| 1194294561 | Lillian Y Morris | Case Manager/Care Coordinator | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2018-11-15 |
| 1154898716 | Tina Vasquez | Counselor | 11059 E Bethany Dr Ste 200, Aurora, CO 80014-2637 | 2018-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881093 | Lori Lea Samuelson | Specialist | 2481 S Xanadu Way Unit A, Aurora, CO 80014-2141 | 2020-11-03 |
| 1891236253 | Dwight Swift | Specialist | 7568 S Quatar Way, Aurora, CO 80016-7119 | 2017-03-17 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1447604244 | Heather Brox | Specialist | 6155 S Main St # E101, Aurora, CO 80016-5363 | 2016-04-18 |
| 1902262900 | Nakeisha Hill | Specialist | 3587 S Joplin St, Aurora, CO 80013-2432 | 2016-01-06 |
| 1770967986 | Amber Medina | Specialist | 17784 E Arizona Pl, Aurora, CO 80017-4313 | 2015-07-17 |
| 1659754687 | Kathleem Brough | Specialist | 3718 S Himalaya Way, Aurora, CO 80013-6621 | 2015-07-08 |
| 1598147688 | Sarah Gleason | Specialist | 1224 Ironton St, Aurora, CO 80010-3415 | 2015-06-24 |
| 1174903819 | Moses Abraha | Specialist | 950 S Cimarron Way Apt K201, Aurora, CO 80012-4980 | 2015-06-08 |
| 1821496225 | Carla Potvin | Specialist | 6066 S Shawnee St, Aurora, CO 80015-4585 | 2014-12-17 |
| 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.