MIA BEVERIDGE (NPI# 1205100906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205100906 |
| Entity Type | Individual |
| Full Name | MIA BEVERIDGE |
| Practice Address |
2790 N Academy Blvd Ste 307 Colorado Springs CO 80917-5329 |
| Mailing Address |
15 W Taylor St Apt B Colorado Springs CO 80907-9212 |
| Practice Telephone | 7194257771 |
| Mailing Telephone | 7194529893 |
| Enumeration Date | 2012-02-28 |
| Last Update Date | 2015-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508377557 | Mia Beveridge | Nurse Practitioner | 3316 Highway 280, Alexander City, AL 35010-3369 | 2017-10-17 |
| Street Address |
2790 N ACADEMY BLVD STE 307 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80917-5329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910499 | Select Physical Therapy of Colorado Springs Lp | Durable Medical Equipment & Medical Supplies | 5660 Barnes Road, Suite 116, Colorado Springs, CO 80917 | 2020-07-30 |
| 1043796774 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3475 North Academy Blvd, Colorado Springs, CO 80917 | 2018-07-16 |
| 1598273153 | Ariana Goemaere | Behavior Technician | 3535 Parkmoor Village Dr, Colorado Springs, CO 80917 | 2018-01-17 |
| 1366959769 | Behavioral Health Consultants, Inc. | Clinic/Center | 3210 North Academy Blvd, Suite 3, Colorado Springs, CO 80917 | 2018-01-08 |
| 1558870030 | Falisha Rief | Assistant Behavior Analyst | 2790 North Academy Blvd, Suite 180, Colorado Springs, CO 80917 | 2017-09-27 |
| 1407374655 | Christina Otto | Assistant Behavior Analyst | 2790 North Academy, Suite 180, Colorado Springs, CO 80917 | 2017-09-07 |
| 1992155956 | Georgina Segura | Nurse Practitioner | 5135 Iron Horse Trl, Colorado Springs, CO 80917 | 2016-06-20 |
| 1952685182 | Barbara Hazard Henning | Pharmacist | 3840 N Academy Blvd, Colorado Springs, CO 80917 | 2011-10-06 |
| 1659651412 | Nicole Blakesley | Psychologist | 3264 Vail Pass Drive, Colorado Springs, CO 80917 | 2011-08-25 |
| 1427360254 | Austinbluffs Dental Prof. LLC | Dentist | 3952 North Academy, Colorado Springs, CO 80917 | 2010-07-09 |
| Find all providers in zip 80917 | ||||
| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245738970 | David Abbott | Rehabilitation Practitioner | 2120 Academy Cir Ste F, Colorado Springs, CO 80909-1674 | 2018-01-29 |
| 1659695245 | North Springs Physical Medicine, LLC | Rehabilitation Practitioner | 8540 Scarborough Dr, Suite 370, Colorado Springs, CO 80920-7502 | 2010-03-25 |
| 1629241856 | Performance Back | Rehabilitation Practitioner | 175 S Union Blvd, Suite 230, Colorado Springs, CO 80910-3113 | 2008-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366040735 | Innovative Therapy Solutions, LLC | Rehabilitation Practitioner | 1671 Saratoga Dr, Lafayette, CO 80026-9025 | 2020-10-16 |
| 1992337240 | Marta Grazyna Stec | Rehabilitation Practitioner | 351 S Estes St Apt 23, Lakewood, CO 80226-2984 | 2020-02-05 |
| 1821642919 | True Therapy Consultants of Colorado LLC | Rehabilitation Practitioner | 12245 W Arizona Ave, Lakewood, CO 80228-3607 | 2019-07-28 |
| 1194295055 | Nicole Wolfe | Rehabilitation Practitioner | 2828 N Speer Blvd Unit 101, Denver, CO 80211-4215 | 2018-12-04 |
| 1255679692 | Meghan Flannigan | Rehabilitation Practitioner | 4713 W 113th Ave, Westminster, CO 80031-7821 | 2013-01-18 |
| 1437325727 | Theresa Delano's Athletic Therapy Services, LLC | Rehabilitation Practitioner | 11168 Latigo Ln, Parker, CO 80138-7339 | 2008-05-06 |
| 1922207133 | Redrock Physical Medicine & Rehabiliation PC | Rehabilitation Practitioner | 551 Kokopelli Blvd Unit J, Fruita, CO 81521-6305 | 2007-07-17 |
| 1871651638 | Summit Eagle Spine and Rehabilitation PC | Rehabilitation Practitioner | 360 Peakone Drive, Suite 390, Frisco, CO 80443 | 2006-12-05 |
| 1942274824 | James W Crawford | Rehabilitation Practitioner | 708 Hunter Dr, Pueblo, CO 81001-1812 | 2006-02-15 |
| 1053938365 | Flowing Water Watsu Aquatic Therapy Inc | Rehabilitation Practitioner | 351 S Estes St Apt 23, Lakewood, CO 80226-2984 | 2020-07-02 |
| Find all providers with the same taxonomy | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80917 |
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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.