REBECCA J NICKELL (NPI# 1477516045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477516045 |
| Entity Type | Individual |
| Full Name | REBECCA J NICKELL |
| Other Name | REBECCA J BLAKE |
| Credential | DO |
| Practice Address |
206 W County Line Rd Ste 300 Highlands Ranch CO 80129 |
| Mailing Address |
2695 Rocky Mountain Ave Ste 150 Loveland CO 80538-9071 |
| Practice Telephone | 3037955980 |
| Practice Fax Number | 3037957881 |
| Mailing Telephone | 9706244451 |
| Mailing Fax Number | 9704904199 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2019-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 43043 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 020422 | 01 |
| CO | GROUP MEMBER PTAN | 403385YU8D | 01 |
| CO | 9000144571 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7030 S Yosemite St, Centennial, CO 801122026 | 3037219984 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851908503 | Rebecca Nickell | Pharmacist | 2575 Elms Center Rd Ste 100, North Charleston, SC 29406-9875 | 2020-09-28 |
| Street Address |
206 W COUNTY LINE RD STE 300 |
| City | HIGHLANDS RANCH |
| State | CO |
| Zip Code | 80129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508867631 | Michael G Loar | Family Medicine | 206 W County Line Rd Ste 300, Highlands Ranch, CO 80129-2321 | 2005-08-10 |
| 1255950861 | Poudre Valley Medical Group, LLC | Family Medicine | 206 W County Line Rd Ste 300, Highlands Ranch, CO 80129-2321 | 2020-04-14 |
| 1326401605 | Christian Damon Lobo | Family Medicine | 206 W County Line Rd Ste 300, Highlands Ranch, CO 80129-2321 | 2016-04-03 |
| 1003257742 | Beth Poeppelman | Family Medicine | 206 W County Line Rd Ste 300, Highlands Ranch, CO 80129-2321 | 2013-07-10 |
| 1972732899 | Kristin Lea Orlowski | Psychologist | 206 W County Line Rd Ste 300, Highlands Ranch, CO 80129-2321 | 2009-07-13 |
| 1205936358 | Kari Barton | Family Medicine | 206 W County Line Rd Ste 300, Highlands Ranch, CO 80129-2321 | 2006-09-25 |
| 1669435210 | John Knight | Family Medicine | 206 W County Line Rd Ste 300, Highlands Ranch, CO 80129-2321 | 2006-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548874027 | Sarah Elizabeth Gerken | Occupational Therapist | 9375 Roadrunner Street, Highlands Ranch, CO 80129 | 2020-09-02 |
| 1952928863 | Juliana Le | Nurse Practitioner | 9088 S. Ridgeline Blvd, Highlands Ranch, CO 80129 | 2020-06-26 |
| 1376046367 | Richard F Shriner | Counselor | 1745 Shea Center Dr.. Ste. 421, Highlands Ranch, CO 80129 | 2018-03-15 |
| 1285145144 | Antonella Valencia | Specialist/Technologist | 8362 Erickson Blvd Apt 9304, Littleton, CO 80129 | 2017-10-18 |
| 1306384763 | Amy Neer | Physical Therapist | 9139 South Ridgeline Rd, Highlands Ranch, CO 80129 | 2017-02-06 |
| 1235673443 | Kathryn Lohrman | Physical Therapist | 1265 Sergeant Jon Stiles Drive, Suite D, Highlands Ranch, CO 80129 | 2016-12-06 |
| 1790237626 | Erica Elizabeth Alonzo | Physician Assistant | 9497 Wolfe Ct, Highlands Ranch, CO 80129 | 2016-10-26 |
| 1689129181 | Casey Elizabeth Bauer | Specialist/Technologist | 10504 Colby Canyon Dr, Highlands Ranch, CO 80129 | 2016-08-25 |
| 1558769539 | Kari Barton Md LLC | Clinic/Center | 9088 South Ridgeline Blve., Ste. #201, Highlands Ranch, CO 80129 | 2014-12-08 |
| 1710386461 | Linda L Williams Md PC | Community/Behavioral Health | 9088 S Ridgeline Blvd, Highlands Ranch, CO 80129 | 2014-08-19 |
| Find all providers in zip 80129 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467060657 | New West Physicians, P.C. | Family Medicine | 200 W County Line Rd Ste 380, Highlands Ranch, CO 80129-2361 | 2020-07-14 |
| 1003357286 | Megan Bensing | Family Medicine | 9135 Ridgeline Blvd Ste 190, Highlands Ranch, CO 80129-2395 | 2017-03-20 |
| 1376099242 | Alexandra Jurenka | Family Medicine | 206 W County Line Rd Ste 210, Highlands Ranch, CO 80129-2320 | 2016-08-30 |
| 1942654207 | Shruti Gupta | Family Medicine | 9331 S. Colorado Blvd, Suite 200, Highlands Ranch, CO 80126 | 2016-04-22 |
| 1588025589 | Sean Kark | Family Medicine | 200 W County Line Rd Ste 130, Highlands Ranch, CO 80129-2342 | 2016-03-18 |
| 1831535962 | Jeremy Jacob John | Family Medicine | 9755 Dunning Cir, Highlands Ranch, CO 80126-8124 | 2013-05-15 |
| 1184982621 | Premod James John | Family Medicine | 9135 S Ridgeline Blvd, Ste 190, Highlands Ranch, CO 80129-2395 | 2012-05-02 |
| 1407058142 | Alejandro Bustamante | Family Medicine | 9135 Ridgeline Blvd, Suite #190, Highlands Ranch, CO 80129-2391 | 2007-06-04 |
| 1508909896 | Summer Renee Irelan | Family Medicine | 9331 S. Colorado Blvd., # 200, Highlands Ranch, CO 80216 | 2007-02-15 |
| 1225146731 | Mark James Montano | Family Medicine | 9330 S University Blvd Ste 100, Highlands Ranch, CO 80126-5049 | 2006-08-25 |
| Find all providers in HIGHLANDS RANCH | ||||
| City | HIGHLANDS RANCH |
| Zip Code | 80129 |
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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.