KELLY OTTERSON (NPI# 1316319056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316319056 |
| Entity Type | Individual |
| Full Name | KELLY OTTERSON |
| Practice Address |
1850 E Egbert St Ste 200 Brighton CO 80601-2483 |
| Mailing Address |
5189 Netherland St Denver CO 80249-8240 |
| Practice Telephone | 3038533500 |
| Mailing Telephone | 9126573039 |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2018-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1850 E EGBERT ST STE 200 |
| City | BRIGHTON |
| State | CO |
| Zip Code | 80601-2483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710969092 | Platte River Anesthesia | Anesthesiology | 1850 E Egbert St, Brighton, CO 80601-2404 | 2005-11-14 |
| 1487946323 | Alexis Gutierrez | Counselor | 1850 E Egbert St, 2nd Floor, Brighton, CO 80601-2483 | 2011-05-11 |
| 1649420142 | Dorothy A Wright | Student in an Organized Health Care Education/Training Program | 1850 E Egbert St, Ste 200, Brighton, CO 80601-2404 | 2008-09-22 |
| 1477768943 | Mary Beth Cahill | Physical Therapist | 1850 E Egbert St, Brighton, CO 80601-2404 | 2007-05-10 |
| 1619180197 | Renee A Gross | Specialist | 1850 E Egbert St, Brighton, CO 80601-2404 | 2007-05-08 |
| 1265644298 | Karen Vizyak | Physical Therapist | 1850 E Egbert St, Brighton, CO 80601-2404 | 2007-05-03 |
| 1164554101 | Matthew Allen Shirley | Counselor | 1850 E Egbert St, Suite200, Brighton, CO 80601-2483 | 2007-03-12 |
| 1710093471 | Susan Barbara Keithley | Advanced Practice Midwife | 1850 E Egbert St, Brighton, CO 80601-2404 | 2006-08-22 |
| 1629080890 | Susanne Claudia Ventzke | Physical Therapist | 1850 E Egbert St, Suite 110, Brighton, CO 80601-2404 | 2006-08-13 |
| 1528040813 | Jerald L Sisk | Anesthesiology | 1850 E Egbert St, Brighton, CO 80601-2404 | 2005-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541228 | Dentists of Brighton, LLP | Dentist | 5127 E Bridge Street, Brighton, CO 80601 | 2018-03-16 |
| 1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1427418953 | Alexis Martinez | Dental Hygienist | 1860 Egbert Street, Brighton, CO 80601 | 2016-02-25 |
| 1427413160 | Haile Ogbalidet | Pharmacist | 1605 E. Bridge St, Brighton, CO 80601 | 2015-12-23 |
| 1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
| 1568881795 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 100 N 50th Ave, Brighton, CO 80601 | 2014-04-15 |
| 1841616554 | Rebecca Sholeh Philman | Registered Nurse | 423 Mt Elbert St, Brighton, CO 80601 | 2014-03-06 |
| 1770928756 | Capital Success, LLC | Clinic/Center | 203 Telluride St Unit 750, Brighton, CO 80601 | 2013-05-06 |
| 1992045884 | Kristin Michelle Uchida | Massage Therapist | 27 S 4th Ave, Brighton, CO 80601 | 2013-03-01 |
| Find all providers in zip 80601 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669081196 | Nora Woofenden | Counselor | 19 Shannon St # 2, Brighton, MA 02135-3408 | 2020-07-30 |
| 1245869841 | Priya K. Rao, LLC | Counselor | 7946 Branch Dr, Brighton, MI 48116-8815 | 2020-04-06 |
| 1568004166 | Erica Mccracken | Counselor | 45 Chestnut Hill Ave Apt 21, Brighton, MA 02135-3949 | 2019-10-15 |
| 1790332625 | Sydney Morgan Dacosta | Counselor | 50 Atkins St Apt 1, Brighton, MA 02135-1620 | 2019-08-26 |
| 1386114866 | Key Development Center, Inc. | Counselor | 2060 Grand River Annex Suite 600, Brighton, MI 48114 | 2018-11-28 |
| 1720567076 | Daniel Ockene | Counselor | 69 Oak Square Ave Apt 1, Brighton, MA 02135-2682 | 2018-08-08 |
| 1619467214 | Ashley Marie Arbuckle | Counselor | 77 Waren Street, Building 9, Brighton, MA 02135 | 2018-05-18 |
| 1922518380 | Eliza Kim | Counselor | 185 Chestnut Hill Ave Apt 7, Brighton, MA 02135-4664 | 2017-10-11 |
| 1730639600 | Jeremiah Tessier IIi | Counselor | 28 Sidlaw Rd, Brighton, MA 02135-5425 | 2016-10-04 |
| 1013462621 | Natasha Khoury | Counselor | 274 Market Street, Brighton, MA 02135-2159 | 2016-08-24 |
| Find all providers in BRIGHTON | ||||
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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.