JAMIE S FETKEWICZ (NPI# 1467828467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467828467 |
| Entity Type | Individual |
| Full Name | JAMIE S FETKEWICZ |
| Credential | MA |
| Practice Address |
2930 11th Ave Evans CO 80620-1011 |
| Mailing Address |
1300 N 17th Ave Greeley CO 80631-9584 |
| Practice Telephone | 9703472120 |
| Mailing Telephone | 9703472120 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
2930 11TH AVE |
| City | EVANS |
| State | CO |
| Zip Code | 80620-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424354 | Leonard Alexander Lowe Jr. | Emergency Medicine | 2930 11th Ave, Evans, CO 80620-1011 | 2005-06-01 |
| 1386250843 | North Range Behavioral Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2020-09-21 |
| 1639780760 | Cassandra Bigley | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-08-12 |
| 1558993170 | Kelly Dineen Scott-kitzman | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2020-02-11 |
| 1851930663 | Sunrise Community Health | Clinic/Center | 2930 11th Ave, Evans, CO 80620-1011 | 2019-12-26 |
| 1942843743 | Emily E Wright | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-24 |
| 1053953232 | Hannah Constantin | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2019-10-09 |
| 1134695745 | Sarah Elizabeth Curzon | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-22 |
| 1881160638 | Krista Gail Jones | Physician Assistant | 2930 11th Ave, Evans, CO 80620-1011 | 2018-10-19 |
| 1376026336 | Amy Renee Brodeur | Nurse Practitioner | 2930 11th Ave, Evans, CO 80620-1011 | 2018-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932734605 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd Ave, Evans, CO 80620 | 2020-03-03 |
| 1992040786 | Homefront Health and Occupational Medicine LLC | Preventive Medicine | 1705 32nd St., Evans, CO 80620 | 2012-12-05 |
| 1295980233 | Joshua Woodland | Optometrist | 3247 23rd Ave., (inside Sams Club), Evans, CO 80620 | 2008-11-18 |
| 1619125903 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 3247 23rd Avenue, Evans, CO 80620 | 2008-08-29 |
| 1699300020 | Focus Point Consulting LLC | Optometrist | Sams Club Optical, 3247 23rd St, Evans, CO 80620 | 2020-03-05 |
| 1316430812 | Niki Avery Pediatric Pt LLC | Physical Therapist | 1050 37th St, Evans, CO 80620 | 2018-06-08 |
| 1013548866 | Envision Creative Support for People With Developmental Disabilities | Respite Care | 1050 37th Street, Evans, CO 80620-0069 | 2020-01-30 |
| 1760922827 | Shanea Barickman | Home Health Aide | 3222 11th Ave, 313, Evans, CO 80620-1545 | 2017-03-08 |
| 1013429695 | Malama Ohana LLC | Home Health | 3222 11th Ave Apt 313, Evans, CO 80620-1546 | 2017-11-03 |
| 1154578961 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 3247 23rd Ave, Evans, CO 80620-1733 | 2008-08-22 |
| Find all providers in zip 80620 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093188039 | Amy Iseman | Counselor | 312 Connor Cir, Evans, GA 30809-6100 | 2015-11-12 |
| 1760707244 | Sheree Hunt Gates | Counselor | 1107 Jami Court, Evans, GA 30809 | 2010-03-29 |
| 1013148907 | Yulanda Williams | Counselor | 4453 Mcmanus Ct, Evans, GA 30809-5031 | 2009-07-27 |
| 1346784451 | Sheryl Potter | Counselor | 618 Ponder Place Dr, Evans, GA 30809-3117 | 2016-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689631 | Megan J Hightower | Counselor | 770 Cedar Hills Rd, Penrose, CO 81240-9155 | 2020-11-06 |
| 1861093049 | Katelyn E Clark | Counselor | 7431 Fortman Ave, Fountain, CO 80817-1403 | 2020-11-04 |
| 1861092710 | Ascent Community Services, Inc | Counselor | 720 100 Yearparty Ct Ste A, Longmont, CO 80504-8512 | 2020-10-29 |
| 1225637572 | Carolyn Walker | Counselor | 8805 W 14th Ave Ste 200, Lakewood, CO 80215-4848 | 2020-10-19 |
| 1780282368 | Zachary Mitchell Kruger | Counselor | 419 4th Avenue, Lyons, CO 80540 | 2020-10-15 |
| 1700484318 | Kelly Elizabeth Sinning | Counselor | 19 Old Town Sq Ste 272, Fort Collins, CO 80524-2471 | 2020-10-15 |
| 1174121107 | Eric Remza | Counselor | 3434 47th St Ste 130, Boulder, CO 80301-1802 | 2020-10-12 |
| 1508464793 | Willyn Webb | Counselor | 3026 1360 Rd, Delta, CO 81416-8745 | 2020-10-11 |
| 1538766985 | Mile High Council On Alcoholism and Drug Abuse | Counselor | 1585 Kingston St, Aurora, CO 80010-2504 | 2020-10-07 |
| 1538766480 | George Sutherland | Counselor | 857 Fenton St, Lakewood, CO 80214-2437 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JAMIE S FETKEWICZ.
| 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.