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).
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 |
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 |
Street Address |
13112 SAINT PAUL DR |
City | THORNTON |
State | CO |
Zip Code | 80241-2121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437787991 | Melanie Tyler | Counselor | 12301 Pennsylvania, Suite 101, Thornton, CO 80241 | 2020-03-31 |
1487218699 | Diane Marie Hansen | Counselor | 491 E 133rd Way, Thornton, CO 80241 | 2019-04-24 |
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 |
Find all providers in zip 80241 |
Taxonomy Code | 363LN0005X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal, Critical Care |
Definition to come... |
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 |
Find all providers with the same taxonomy |
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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.