ERNIE STANLEY BACA (NPI# 1285054908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285054908 |
Entity Type | Individual |
Full Name | ERNIE STANLEY BACA |
Credential | MS |
Practice Address |
1644 S College Ave Fort Collins CO 80525-1007 |
Practice Telephone | 9702210999 |
Practice Fax Number | 9702212727 |
Mailing Telephone | 9702210999 |
Mailing Fax Number | 9702212727 |
Enumeration Date | 2014-04-21 |
Last Update Date | 2014-04-21 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251300000X | Local Education Agency (LEA) | 0499136 | CO | Agencies |
Street Address |
1644 S COLLEGE AVE |
City | FORT COLLINS |
State | CO |
Zip Code | 80525-1007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043286180 | Turning Point Center for Youth and Family Development, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2006-02-28 |
1760926893 | Christopher Morgan Amerman | Counselor | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2016-12-08 |
1184176562 | Evan Bland | Counselor | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2016-11-01 |
1386193936 | Brittany Hogg | Social Worker | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2016-09-23 |
1598117582 | Kevin Mcfall | Counselor | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2016-07-01 |
1598123473 | Veronica Chulata | Counselor | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2016-02-05 |
1972974673 | April Bennett | Counselor | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2015-10-07 |
1790181287 | Heidi A Hedrick | Counselor | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2014-11-10 |
1366844839 | Shane G Lemaster | Counselor | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2014-09-16 |
1114347010 | Denise Mary Vondra | Contractor | 1644 S College Ave, Fort Collins, CO 80525-1007 | 2014-04-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
Find all providers in zip 80525 |
Taxonomy Code | 251300000X |
Grouping | Agencies |
Classification | Local Education Agency (LEA) |
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457895831 | Rocky Mountain Integrative Academy | Local Education Agency (LEA) | 8393 Church Ranch Blvd, Westminster, CO 80021-3918 | 2016-12-05 |
1396199113 | Margaret Kelly | Local Education Agency (LEA) | 16583 Columbine St, Brighton, CO 80602-7689 | 2016-04-18 |
1568830651 | Park County School District Re2 | Local Education Agency (LEA) | 640 Hathaway St., Fairplay, CO 80440-0189 | 2015-09-08 |
1174861280 | Spectra Autism Center | Local Education Agency (LEA) | 2424 9th Ave, Apartment 3108, Longmont, CO 80503-4043 | 2013-01-24 |
1871819987 | Ute Pass Boces | Local Education Agency (LEA) | 211 North Baldwin Ave, Woodland Park, CO 80863-0063 | 2010-04-14 |
1184954760 | County of Fremont Custer School District Re-2 | Local Education Agency (LEA) | 403 W 5th St, Florence, CO 81226-1103 | 2010-01-05 |
1063603629 | Wendy Fenton | Local Education Agency (LEA) | 321 E 37th St, Durango, CO 81301-4068 | 2007-08-07 |
1992996052 | D.r. Gammons & Associates, Inc. | Local Education Agency (LEA) | 23752 E Alabama Dr, Aurora, CO 80018-3023 | 2007-08-05 |
1992900997 | Garfield School District No. Re-2 | Local Education Agency (LEA) | 839 Whiteriver Ave, Rifle, CO 81650-3515 | 2007-06-19 |
1023221108 | Woodland Park School District Re2 | Local Education Agency (LEA) | 155 Panther Way, Woodland Park, CO 80863 | 2007-05-07 |
Find all providers with the same taxonomy |
City | FORT COLLINS |
Zip Code | 80525 |
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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.