CONNIE J RUSK


Address: 13112 Saint Paul Dr, Thornton, CO 80241-2121
Phone: 3035036671

CONNIE J RUSK (NPI# 1215164066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215164066
Entity Type Individual
Full Name CONNIE J RUSK
Other Name CONNIE J HENDRIX
Credential APRN
Practice Address 13112 Saint Paul Dr
Thornton
CO 80241-2121
Practice Telephone 3035036671
Practice Fax Number 3038397360
Mailing Telephone 3035036671
Mailing Fax Number 3038397360
Enumeration Date 2009-06-19
Last Update Date 2014-11-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LN0000X Nurse Practitioner
Specialization: Neonatal
53-44709-091 KS Physician Assistants & Advanced Practice Nursing Providers
N 363LN0000X Nurse Practitioner
Specialization: Neonatal
77980 CO Physician Assistants & Advanced Practice Nursing Providers
N 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
53-44709-091 KS Physician Assistants & Advanced Practice Nursing Providers
Y 363LN0005X Nurse Practitioner
Specialization: Neonatal, Critical Care
77980 CO Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 13112 SAINT PAUL DR
City THORNTON
State CO
Zip Code 80241-2121

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NPI Name Taxonomy Address Enumeration
1437787991 Melanie Tyler Counselor 12301 Pennsylvania, Suite 101, Thornton, CO 80241 2020-03-31
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1164979712 James Brannan Contractor 13364 Birch Court, Thornton, CO 80241 2016-09-01
1083925200 Keralee Vought Social Worker 12015 Grape St, Thornton, CO 80241 2010-06-23
1770767675 Charles E Januschka Chiropractor 3953b E 120th Ave, Thornton, CO 80241 2007-12-27
1407928724 Erica A Derby Dentist 2800 East 136th Avenue, Thornton, CO 80241 2006-11-14
1558445361 Carolyn Watt Mauterer Dentist 2800 E 136th Ave, Thornton, CO 80241 2006-10-25
1215046842 Adams 12 Five Star Schools Local Education Agency (LEA) 1500 E 128th Avenue, Adams 12 Five Star Schools C/o Sandra Sellstrom, Thornton, CO 80241 2006-08-29
1366932162 University of Colorado Hospital Authority Clinic/Center 12020 Colorado Blvd, Thornton, CO 80241 2018-05-16
1376077438 Spencer Del Moral Student in an Organized Health Care Education/Training Program 4075 E 128th Ave, Thornton, CO 80241 2017-04-16
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Taxonomy Information

Taxonomy Code 363LN0005X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal, Critical Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1427299957 Tamela Jean Boulter Nurse Practitioner 1480 Lone Scout Lookout, Monument, CO 80132-8036 2009-03-12
1902078769 Karen Lynn St. Louis Nurse Practitioner 777 Bannock St., Denver, CO 80204 2008-04-01
1053582551 Linda D Mccarney Nurse Practitioner 13123 E 16th Ave # B-535, Aurora, CO 80045-7106 2008-03-12
1225241904 Rosemary Danaher Nurse Practitioner 7700 South Broadway, Littleton Adventist Hospital, Littleton, CO 80122 2007-05-08
1194774679 Carol Lynnette Beck Nurse Practitioner 725 E Girard Ave, Englewood, CO 80113-2761 2006-05-10
1780292045 Jorge Luis Serna Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2020-07-22
1013534288 Katy Lynn Fangmeier Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2020-07-02
1750936928 Rachael Elizabeth Zumstein Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2019-08-05
1770136988 Kenneth Henderson Nurse Practitioner 2635 N 7th St, Grand Junction, CO 81501-8209 2019-07-17
1770144453 Grant A Covey Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2019-06-24
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Competitor

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City THORNTON
Zip Code 80241

Improve Information

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Dataset Information

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.

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