SPRUCE STREET INTERNAL MEDICINE (NPI# 1346360617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346360617 |
| Entity Type | Organization |
| Organization Name | SPRUCE STREET INTERNAL MEDICINE |
| Practice Address |
2575 Spruce St Boulder CO 80302 |
| Practice Telephone | 3034493594 |
| Practice Fax Number | 3034493112 |
| Mailing Telephone | 3034493594 |
| Mailing Fax Number | 3034493112 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2010-07-26 |
| Authorized Official Name | DR. HILLARY LOIS BROWNE (MD/OWNER) |
| Authorized Official Telephone | 3034493594 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 30069 | CO | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | SPRUCE STREET INTERNAL MEDICINE, A PROFESSIONAL LLC | 489 76th Street, C/o Hillary Browne, Boulder, CO 80303 |
| Street Address |
2575 SPRUCE ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457348724 | Dawn Renee Hutchinson | Internal Medicine | 2575 Spruce St, Boulder, CO 80302-3806 | 2005-10-03 |
| 1942856745 | Boulder Community Health | Clinic/Center | 2575 Spruce St, Boulder, CO 80302-3806 | 2019-08-16 |
| 1386983542 | Rebecca Ann Kasperbauer | Physician Assistant | 2575 Spruce St, Boulder, CO 80302-3806 | 2013-02-07 |
| 1447433867 | Mary Louise Langlois | Internal Medicine | 2575 Spruce St, Boulder, CO 80302-3806 | 2007-12-07 |
| 1205911328 | Kathryn Mandelbaum Johnson | Physician Assistant | 2575 Spruce St, Boulder, CO 80302-3806 | 2006-10-26 |
| 1477577153 | Kristina A Anton-schnell | Internal Medicine | 2575 Spruce St, Boulder, CO 80302-3806 | 2006-07-27 |
| 1487613972 | Sheila Lt Ling | Internal Medicine | 2575 Spruce St, Boulder, CO 80302-3806 | 2006-03-22 |
| 1033108642 | Amy Oconor Maiocco | Internal Medicine | 2575 Spruce St, Boulder, CO 80302-3806 | 2005-10-17 |
| 1316936198 | Hillary L Browne | Internal Medicine | 2575 Spruce St, Boulder, CO 80302-3806 | 2005-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093323347 | Aviva Naomi Bannerman | Counselor | 2299pearlst., Boulder, CO 80302 | 2020-07-22 |
| 1205480845 | Mark L Sipowicz | Counselor | 100 Arapahoe Avenue, Boulder, CO 80302 | 2019-08-01 |
| 1366909806 | Brett Adamek | Counselor | 2027 Broadway, Suite E, Boulder, CO 80302 | 2019-02-20 |
| 1124592225 | Stepheny Antrobus | Counselor | 100 Arapahoe Lane, Suite 12, Boulder, CO 80302 | 2019-01-11 |
| 1942721337 | Sasha Marvel Hope | Nutritionist | 2260 Baseline Road #102, Boulder, CO 80302 | 2017-07-06 |
| 1073045365 | Mark Shusterman | Internal Medicine | 2133 5th Street, Boulder, CO 80302 | 2017-03-28 |
| 1316489396 | Agnieszka Spuzak | Nutritionist | 1267 Fourmile Canyon Dr, Boulder, CO 80302 | 2016-11-08 |
| 1265980031 | Tanya Robertson | Physical Therapy Assistant | 1633 Grove Street, Boulder, CO 80302 | 2016-09-21 |
| 1699142380 | Libbey Occupational Therapy Services LLC | Occupational Therapist | 100 West Arapahoe Ln, Suite 12, Boulder, CO 80302 | 2015-08-28 |
| 1831597244 | Annemarie Curran Prairie | Counselor | 2505 Walnut St., Ste 303, Boulder, CO 80302 | 2014-12-17 |
| Find all providers in zip 80302 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746643 | Kaitlin Sisk | Specialist | 1405 S Broadway St, Boulder, CO 80305-6723 | 2020-10-08 |
| 1356719058 | Jenna Heilers Otr LLC | Specialist | 2135 Upland Ave, Boulder, CO 80304-0937 | 2015-09-11 |
| 1316284235 | Rocky Mountain Center for Advanced Medicine | Specialist | 4790 Table Mesa Dr Ste 202, Boulder, CO 80305-5660 | 2013-01-11 |
| 1609123470 | Terry Ann Pallister | Specialist | 16 Whitetail Rd, Boulder, MT 59632-9727 | 2012-08-10 |
| 1104107960 | Denise K Bell | Specialist | 2325 Balsam Dr, Boulder, CO 80304-3709 | 2011-09-06 |
| 1548569445 | Sydney Ann Cooper | Specialist | 2956 Glenwood Dr, Boulder, CO 80301-1306 | 2011-03-18 |
| 1437337094 | Timothy Justice Md PC | Specialist | 425 College Ave, Boulder, CO 80302-7131 | 2008-02-06 |
| 1134307606 | Frank Guerra Md PC | Specialist | 1155 Alpine Ave Ste 385, Boulder, CO 80304-3495 | 2008-02-06 |
| 1598949737 | Connie L Grenz | Specialist | 303 East Third Ave, Boulder, MT 59632-1215 | 2007-12-24 |
| 1295938223 | Amy Lynne Stone | Specialist | 2691 Juniper Ave, Boulder, CO 80304-2462 | 2007-06-07 |
| Find all providers in BOULDER | ||||
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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.