SANDRA LYNN BERNARD (NPI# 1427142181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427142181 |
Entity Type | Individual |
Full Name | SANDRA LYNN BERNARD |
Other Name | SANDRA LYNN SCHOUTEN |
Credential | PA |
Practice Address |
255 Union Blvd Ste 300 Lakewood CO 80228-1859 |
Mailing Address |
5964 Herzman Dr Evergreen CO 80439-5407 |
Practice Telephone | 3039869583 |
Practice Fax Number | 3039862901 |
Mailing Telephone | 3036799251 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2200 | CO | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | STATE LICENSE | 2200 | 01 |
Street Address |
255 UNION BLVD STE 300 |
City | LAKEWOOD |
State | CO |
Zip Code | 80228-1859 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003812942 | Joseph A Cocco | Surgery | 255 Union Blvd Ste 300, Lakewood, CO 80228-1859 | 2005-06-24 |
1730796400 | Colorado Medical Group, Pllc | Surgery | 255 Union Blvd Ste 300, Lakewood, CO 80228-1859 | 2020-09-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
Find all providers in zip 80228 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457804973 | Rachael Anne Ruscitto | Physician Assistant | 2298 Woodward Ave, Lakewood, OH 44107-5561 | 2016-08-02 |
1588047518 | Geoffrey Slater | Physician Assistant | 285 Zang St Apt 2834, Lakewood, CO 80228-1032 | 2015-07-08 |
1225466824 | Joseph Beren | Physician Assistant | 150 James St Ste 204, Lakewood, NJ 08701-4101 | 2013-10-17 |
1184962649 | Rodger Howard Steinem | Physician Assistant | 5501 W Mississippi Ave, Lakewood, CO 80226-4811 | 2013-01-17 |
1942569553 | Maria Elena Arredondo | Physician Assistant | 5712 Coldbrook Ave, Lakewood, CA 90713-1442 | 2012-05-16 |
1730496886 | Johnna Jaynstein | Physician Assistant | 13300 W 6th Ave, Campus Box 44, Lakewood, CO 80228-1213 | 2010-09-10 |
1881878635 | Christian Angelo Cruz | Physician Assistant | 2529 Greentop St, Lakewood, CA 90712-3609 | 2007-12-28 |
1649499054 | Shinobu Inoue | Physician Assistant | 6210 75th St W Ste A200, Lakewood, WA 98499-8110 | 2007-04-24 |
1134257603 | Michele Lee Saul-langford | Physician Assistant | 2425 Carson St., #22, Lakewood, CA 90712 | 2007-02-28 |
1407930456 | Jon Derik Mortensen | Physician Assistant | 10510 Gravelly Lake Dr., Community Health Care - Lakewood Clinic, Lakewood, WA 98499 | 2006-10-25 |
Find all providers in LAKEWOOD |
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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.