DR. MELANIE FLEUR SANDOVAL (NPI# 1407492929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407492929 |
Entity Type | Individual |
Full Name | DR. MELANIE FLEUR SANDOVAL |
Credential | NP |
Practice Address |
2212 Red Edge Hts Colorado Springs CO 80921-7227 |
Practice Telephone | 7209006250 |
Mailing Telephone | 7209006250 |
Enumeration Date | 2019-11-19 |
Last Update Date | 2019-11-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
0178632 | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
0178632 | CO | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
0178632 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NA | NA | 01 |
Street Address |
2212 RED EDGE HTS |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80921-7227 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821622176 | Novamentis PC | Clinic/Center | 2212 Red Edge Hts, Colorado Springs, CO 80921-7227 | 2020-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
1740894039 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - Md, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
1003420324 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - App, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
1417519893 | Michelle Wright | Counselor | 11681 Voyager Parkway, Suite 150, Colorado Springs, CO 80921 | 2019-07-05 |
1780241083 | Lindsay Afton Barker | Counselor | Whole Kids Co., 11681 Voyager Pkwy, Ste 150, Colorado Springs, CO 80921 | 2019-05-22 |
1063076321 | Octavia Cormier | Counselor | 11681 Voyager Pkwy, Unit 150, Colorado Springs, CO 80921 | 2019-04-23 |
1225538630 | Northgate Family Chiropractic LLC | Chiropractor | 12245 Voyager Pkwy Ste 124, Colorado Springs, CO 80921 | 2018-02-13 |
1942712351 | Candace Grace Kaminski | Massage Therapist | 59 Avocet Loop, Colorado Springs, CO 80921 | 2017-10-26 |
1801319108 | Rebecca Freed | Physical Therapist | 13570 Northgate Estates Dr. Ste 100, Colorado Springs, CO 80921 | 2017-07-19 |
1174076582 | Jan L Wilkenson | Counselor | Heart Matters Counseling Center, 13550 Northgate Estates Drive, #200, Colorado Springs, CO 80921 | 2016-08-02 |
Find all providers in zip 80921 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902439029 | Michelle R Straight | Nurse Practitioner | 4141 Pony Tracks Dr, Colorado Springs, CO 80922-3065 | 2020-02-17 |
1376918722 | Rhiannon Lori Sunday | Nurse Practitioner | 8890 N. Union Blvd., Suite 185, Colorado Springs, CO 80920 | 2015-12-10 |
1992145734 | Stewart C Eldridge | Nurse Practitioner | 6947 Metropolitan St, Colorado Springs, CO 80911-2715 | 2013-06-25 |
1629630728 | Veronica Misko | Nurse Practitioner | 2312 N Nevada Ave Ste 305, Colorado Springs, CO 80907-5318 | 2019-06-28 |
1780111740 | Amy Dean Kammerzell | Nurse Practitioner | 4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920 | 2017-05-21 |
1497138267 | Ashley Pyne Read | Nurse Practitioner | 1633 Medical Center Pt, Colorado Springs, CO 80907-5700 | 2015-06-29 |
1598856346 | Stephanie Jo Brown | Nurse Practitioner | 1415 W Cheyenne Mountain Blvd, Colorado Springs, CO 80906-6211 | 2006-09-27 |
1184649071 | Christine Cousineau | Nurse Practitioner | 1415 W Cheyenne Mountain Blvd, Colorado Springs, CO 80906-6211 | 2006-07-13 |
1346285806 | Susan Paige Atwood | Nurse Practitioner | 825 E Pikes Peak Ave, Colorado Springs, CO 80903-3631 | 2006-06-18 |
1326041492 | Carolyn K Hackett | Nurse Practitioner | 175 S Union Blvd, Suite # 350, Colorado Springs, CO 80910-3113 | 2005-05-23 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80921 |
Please comment or provide details below to improve the information on DR. MELANIE FLEUR SANDOVAL.
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.