TERESA WANNER (NPI# 1497107395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497107395 |
| Entity Type | Individual |
| Full Name | TERESA WANNER |
| Practice Address |
1075 Galapago St Denver CO 80204-3942 |
| Practice Telephone | 3035046800 |
| Mailing Telephone | 3035046800 |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2016-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
1075 GALAPAGO ST |
| City | DENVER |
| State | CO |
| Zip Code | 80204-3942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063556306 | Gary Joseph Pakulski | Social Worker | 1075 Galapago St, Denver, CO 80204-3942 | 2007-02-19 |
| 1588205710 | Benjamin Cruz Abeyta | Home Health Aide | 1075 Galapago St, Denver, CO 80204-3942 | 2019-09-29 |
| 1306491345 | Ozni Monarrez | Counselor | 1075 Galapago St, Denver, CO 80204-3942 | 2019-08-06 |
| 1003375528 | Spenser Baylee Nye | Counselor | 1075 Galapago St, Denver, CO 80204-3942 | 2019-03-14 |
| 1023574928 | Candy Rountree | Peer Specialist | 1075 Galapago St, Denver, CO 80204-3942 | 2019-02-15 |
| 1144746207 | Erika Gray | Counselor | 1075 Galapago St, Denver, CO 80204-3942 | 2017-08-20 |
| 1457885816 | Erin Haggerty | Counselor | 1075 Galapago St, Denver, CO 80204-3942 | 2017-04-12 |
| 1699221739 | Patricia Lucero | Peer Specialist | 1075 Galapago St, Denver, CO 80204-3942 | 2016-08-29 |
| 1548615297 | Juan Martinezchavez | Peer Specialist | 1075 Galapago St, Denver, CO 80204-3942 | 2016-05-02 |
| 1972978054 | Michelle Baker | Technician, Other | 1075 Galapago St, Denver, CO 80204-3942 | 2015-12-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205483716 | Pam Specialty Hospital of Denver LLC | Long Term Care Hospital | 1690 N Meade St, Denver, CO 80204 | 2019-08-20 |
| 1912468125 | Rachel Vanderwel | Student in an Organized Health Care Education/Training Program | 777 Bancock Street, Mc 0108, Denver, CO 80204 | 2019-03-29 |
| 1831673391 | Alexandra Wilcox | Counselor | 1175 Osage St, Suite 205, Denver, CO 80204 | 2018-09-20 |
| 1912480716 | Arieye, Inc | Ophthalmology | 3120 W 19th Ave, Unit 3, Denver, CO 80204 | 2018-09-08 |
| 1144701053 | Kristina Ann Petrosino | Dental Hygienist | 601 Broadway St., Denver, CO 80204 | 2018-08-28 |
| 1811474075 | Lindsey Spraker | Counselor | 1175 Osage Street, Suite 205, Denver, CO 80204 | 2018-07-20 |
| 1427541887 | Healthy Life Care LLC | Home Health | 500 Newton St, Denver, CO 80204 | 2018-06-11 |
| 1932601655 | Emily Gispert Weaver | Student in an Organized Health Care Education/Training Program | 301 W. 6th Ave., Denver, CO 80204 | 2018-03-08 |
| 1144745928 | Melisssa Wells | Licensed Practical Nurse | 1801 W. 13th Ave, Denver, CO 80204 | 2017-08-14 |
| 1689112948 | Tyler Stephens | Student in an Organized Health Care Education/Training Program | 2233 Champa St., Denver, CO 80204 | 2017-02-07 |
| Find all providers in zip 80204 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518364710 | Ryan Moir Tixier | Peer Specialist | 901 Sherman St, Apt 322, Denver, CO 80203-2916 | 2014-12-03 |
| 1770113060 | Daniel Reichwein | Peer Specialist | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2020-01-25 |
| 1548804644 | Sonia Rhodes | Peer Specialist | 456 Bannock St, Denver, CO 80204-5126 | 2019-10-31 |
| 1164065306 | Emily Marie Pocock | Peer Specialist | 4141 E Dickenson Pl, Denver, CO 80222-6012 | 2019-10-21 |
| 1629619333 | Jody Gamel | Peer Specialist | 777 Bannock St, Denver, CO 80204-4597 | 2019-10-03 |
| 1154981835 | Sara Alexandra Bray | Peer Specialist | 456 Bannock St, Denver, CO 80204-5126 | 2019-06-16 |
| 1770142952 | Grady Scott Ainsworth | Peer Specialist | 4455 E 12th Ave, Denver, CO 80220-2415 | 2019-06-11 |
| 1912466962 | Doug James Comiskey | Peer Specialist | 1601 S Federal Blvd, Denver, CO 80219-4837 | 2019-03-19 |
| 1023574928 | Candy Rountree | Peer Specialist | 1075 Galapago St, Denver, CO 80204-3942 | 2019-02-15 |
| 1225509045 | John N Raiche | Peer Specialist | 1648 Gaylord St, Denver, CO 80206-1239 | 2018-12-06 |
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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.