BRUCE LOWELL DEITSCH


Address: 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998
Phone: (719) 633-3400

BRUCE LOWELL DEITSCH (NPI# 1477811941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477811941
Entity Type Individual
Full Name BRUCE LOWELL DEITSCH
Credential N.P.
Practice Address 2550 Tenderfoot Hill St
Colorado Springs
CO 80906-3998
Mailing Address 2550 Tenderfoot Hill Street
Colorado Springs
CO 80906-3998
Practice Telephone (719) 633-3400
Practice Fax Number 7194578157
Mailing Telephone (719) 633-3400
Mailing Fax Number 7194578157
Enumeration Date 2012-05-02
Last Update Date 2018-03-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
APN.0990381-NP CO Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
559 Vincent St, Attn: 21 Mdg/sgpm - Public Health, Peterson Afb, CO 809141540 7195560888 8778131756

Office Location

Street Address 2550 TENDERFOOT HILL ST
City COLORADO SPRINGS
State CO
Zip Code 80906-3998

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801892625 Pikes Peak Hospice and Palliative Care Inc Hospice, Inpatient 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 2005-06-27
1376184853 Ashley Danielle Fry Nurse Practitioner 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 2019-10-04
1679081830 Rebecca L Wood Social Worker 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 2018-01-22
1982061024 Rebekah Diann Price Nurse Practitioner 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 2016-01-20
1992112536 Kala Miller Nurse Practitioner 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 2014-07-15
1992043459 Alyse Jewel Mchugh Nurse Practitioner 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 2013-01-17
1194929745 Pikes Peak Hospice Pharmacy 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 2007-06-14
1346458197 Angela Marie Poppe Ries Internal Medicine 2550 Tenderfoot Hill St, Colorado Springs, CO 80906 2007-05-17
1245362169 Pikes Peak Hospice and Palliative Care Inc Family Medicine 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 2007-03-09
1154459485 Kate Bendon Raphael Family Medicine 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 2007-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437797339 Michael Crise Behavior Technician 1330 Qual Lake Loop Ste 120, Colorado Springs, CO 80906 2019-12-11
1730720541 Amanda Salinas Massage Therapist 1235 Lake Plaza Drive Suite 230, Colorado Springs, CO 80906 2019-10-02
1225511488 Sheila Meggison Massage Therapist 1235 Lake Plaza Drive, Suite 230, Colorado Springs, CA 80906 2018-09-12
1316429756 Vivus Counseling Services LLC Counselor 108 East Cheyenne Rd Suite 201, Colorado Springs, CO 80906 2018-09-01
1043796949 Erin Lee Recinos Nurse Practitioner 225 E Cheyenne Mountain Blvd Ste 220, Colorado Springs, CO 80906 2018-07-13
1982103875 Savannah Adeline Rentrop Behavior Technician 2989 Broadmoor Valley Rd D, Colorado Springs, CO 80906 2018-02-06
1205335288 Ross Knowlton Behavior Technician 1330 Quail Lake Loop Suite 200, Colorado Springs, CO 80906 2018-02-06
1942709845 Adrienne Bohlen Behavior Technician 1330 Quail Lake Loop, Ste. 200, Colorado Springs, CO 80906 2018-02-06
1881110088 Christine Gonzales Nurse Practitioner 2739 E Las Vegas St, Colorado Springs, CO 80906 2017-08-18
1225568470 Larry Alwine Counselor 2860 South Circle Drive, Unit 250k, Colorado Springs, CO 80906 2017-06-19
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013517879 Melanie Bjorkman Nurse Practitioner 8316 Needle Drop Ct, Colorado Springs, CO 80908-1337 2020-10-29
1932708013 Lindsay Sweetman Nurse Practitioner 3575 Rocky Knoll Dr, Colorado Springs, CO 80920-4219 2020-10-20
1922607357 Laura Evelyn Pettit Nurse Practitioner 7114 Selfridge St, Colorado Springs, CO 80916-5296 2020-10-16
1962011452 Minuteclinic Diagnostic of Colorado LLC Nurse Practitioner 3475 N Academy Blvd, Colorado Springs, CO 80917-5166 2020-07-30
1760008999 Ruth-ann N Umana Nurse Practitioner 3550 Plantation Grv, Colorado Springs, CO 80920-4830 2020-06-23
1376169763 Shannon Graves Nurse Practitioner 4964 Bluestem Dr, Colorado Springs, CO 80917-1306 2020-06-22
1487270807 Tammy Michelle Williams Nurse Practitioner 10212 Hannaway Dr, Colorado Springs, CO 80924-5320 2020-06-22
1154947836 Roni-sue Ranae Westermeyer Nurse Practitioner 560 Hidden Cottage Grv, Colorado Springs, CO 80906-7777 2020-06-18
1952937906 Brena Jonsan Branch Nurse Practitioner 5556 Prairie Schooner Dr, Colorado Springs, CO 80923-8771 2020-03-20
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Competitor

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City COLORADO SPRINGS
Zip Code 80906

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Dataset Information

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.

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