CAROL MAE BROOKSHIRE (NPI# 1255356101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255356101 |
| Entity Type | Individual |
| Full Name | CAROL MAE BROOKSHIRE |
| Practice Address |
1055 Clermont St Denver CO 80220-3808 |
| Mailing Address |
4625 Sylvia Ln Erie CO 80516-9041 |
| Practice Telephone | 3033932865 |
| Practice Fax Number | 3033935031 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
52329 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1055 CLERMONT ST |
| City | DENVER |
| State | CO |
| Zip Code | 80220-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316942188 | Suzanne J Kasim | Pharmacist | 1055 Clermont St, Hbpc, Building 4, Denver, CO 80220-3808 | 2005-06-16 |
| 1447814298 | Mary Klukkert | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2019-04-26 |
| 1710454970 | Abigail Norouzinia | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-10-25 |
| 1003393018 | Erin Kathleen Poindexter | Psychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-07-23 |
| 1083106579 | Emilia Worthey | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-31 |
| 1659862431 | Ankurpreet Singh Gill | Student in an Organized Health Care Education/Training Program | 1055 Clermont St, Denver, CO 80220-3808 | 2018-05-28 |
| 1891284964 | Denver Vamc | Psychiatric Residential Treatment Facility | 1055 Clermont St, Denver, CO 80220 | 2018-05-04 |
| 1578050084 | Jason Alan Kacmarski | Clinical Neuropsychologist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-19 |
| 1154828861 | Austin Brown | Podiatrist | 1055 Clermont St, Denver, CO 80220-3808 | 2018-04-09 |
| 1952804221 | Jennifer Lynn Vallejo | Social Worker | 1055 Clermont St, Denver, CO 80220-3808 | 2018-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053876748 | Woody Dental Pllc | Dentist | 5989 E Colfax Avenue, Denver, CO 80220 | 2019-02-06 |
| 1366961930 | Maita Angelica Thams | Case Manager/Care Coordinator | 4455 E. 12th Ave, Denver, CO 80220 | 2017-09-14 |
| 1962943837 | Rocky Mountain Therapy Ltd | Clinic/Center | 883 Jersey St, Denver, CO 80220 | 2017-03-13 |
| 1578019188 | Alfredo Guzman | Pharmacist | 1055 Cleremont, Denver, CO 80220 | 2016-09-01 |
| 1265802144 | Joseph Parker Morse | Case Manager/Care Coordinator | 4455 East 12th Avenue, Denver, CO 80220 | 2015-10-05 |
| 1104296789 | Eric Poissant | Physical Therapist | 4700 East Hale Parkway, #550, Denver, CO 80220 | 2015-09-25 |
| 1104292085 | Casey Lucarelli | Student in an Organized Health Care Education/Training Program | 4455 E. 12th Av., Mhcd, Denver, CO 80220 | 2015-08-14 |
| 1124414081 | Domenic Michael Terenzi | Hospitalist | 8001 E 11th Ave Unit 5210, Denver, CO 80220 | 2015-04-07 |
| 1730598566 | Jessica Nichole Heck | Pharmacist | 1055 Clermont Street (119), Denver Va Medical Center- Echcs, Denver, CO 80220 | 2014-08-06 |
| 1063840171 | Kellie Ann Douglas | Nurse Practitioner | 4545 E 9th Ave Ste 260, Denver, CO 80220 | 2013-10-29 |
| Find all providers in zip 80220 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912504978 | Mary Margaret Krzystowczyk | Nurse Practitioner | 930 N Logan St Apt 1/2, Denver, CO 80203-3193 | 2020-10-02 |
| 1225635477 | Shannan Rene Bryant | Nurse Practitioner | 950 E Harvard Ave Ste 320, Denver, CO 80210-7005 | 2020-10-01 |
| 1962745448 | Sarah Anne Hicks | Nurse Practitioner | 1265 S Broadway, Denver, CO 80210-1503 | 2013-04-03 |
| 1316117641 | Marjory Sharon Leight | Nurse Practitioner | 5250 E Iliff Ave, Denver, CO 80222-6260 | 2008-03-03 |
| 1992337331 | Jennifer Hope Dahl-iglehart | Nurse Practitioner | 6311 E 14th Ave, Denver, CO 80220-2821 | 2020-02-04 |
| 1306365804 | Che Pang | Nurse Practitioner | 1531 Market St, Denver, CO 80202-1607 | 2017-09-15 |
| 1376594895 | Barbara Ann Vanbuskirk | Nurse Practitioner | 200 E 9th Ave, Denver, CO 80203-2903 | 2006-05-12 |
| 1124080379 | Susan Marie Riedmann | Nurse Practitioner | 1055 Clermont St, Denver, CO 80220-3808 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902439029 | Michelle R Straight | Nurse Practitioner | 4141 Pony Tracks Dr, Colorado Springs, CO 80922-3065 | 2020-02-17 |
| 1295240380 | Audra Roosen | Nurse Practitioner | 1221 Timbervale Trl, Highlands Ranch, CO 80129-6946 | 2017-12-11 |
| 1134654916 | Jennifer Kahan | Nurse Practitioner | 18515 Peaceful Pines Rd, Monument, CO 80132-8368 | 2017-04-28 |
| 1376918722 | Rhiannon Lori Sunday | Nurse Practitioner | 8890 N. Union Blvd., Suite 185, Colorado Springs, CO 80920 | 2015-12-10 |
| 1467846600 | Cammie Rausch | Nurse Practitioner | 3885 Upham St Ste 100, Wheat Ridge, CO 80033-4800 | 2015-03-25 |
| 1992145734 | Stewart C Eldridge | Nurse Practitioner | 6947 Metropolitan St, Colorado Springs, CO 80911-2715 | 2013-06-25 |
| 1104102003 | Tricia Lea Vath | Nurse Practitioner | 8510 Bryant St Ste 350, Westminster, CO 80031-3845 | 2011-10-25 |
| 1407181050 | Patricia Lane Fisher | Nurse Practitioner | 6455 S Yosemite St Ste 600, Greenwood Village, CO 80111-5143 | 2009-10-14 |
| 1720214620 | Senior Care of Kansas LLC | Nurse Practitioner | 3690 W 112th Ave Unit 205, Westminster, CO 80031-2118 | 2009-06-05 |
| 1487780656 | Joyce Gano | Nurse Practitioner | 4745 S Helena Way, Aurora, CO 80015-1709 | 2007-02-24 |
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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.