ERNIE STANLEY BACA


Address: 1644 S College Ave, Fort Collins, CO 80525-1007
Phone: 9702210999

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251300000X Local Education Agency (LEA) 0499136 CO Agencies

Office Location

Street Address 1644 S COLLEGE AVE
City FORT COLLINS
State CO
Zip Code 80525-1007

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 251300000X
Grouping Agencies
Classification Local Education Agency (LEA)

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City FORT COLLINS
Zip Code 80525

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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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