DR. SALOME N AGBIM (NPI# 1528038353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528038353 |
| Entity Type | Individual |
| Full Name | DR. SALOME N AGBIM |
| Credential | ND, CNS, APRN BC |
| Practice Address |
2400 S Peoria St 100 Aurora CO 80014-5476 |
| Practice Telephone | 3033064321 |
| Practice Fax Number | 3033064347 |
| Mailing Telephone | 3033064321 |
| Mailing Fax Number | 3033064347 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2012-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 126175 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 99529840 | 05 |
| Street Address |
2400 S PEORIA ST 100 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-5476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215937115 | Wayne Eric Miller | Internal Medicine | 2400 S Peoria St, 100, Aurora, CO 80014-5476 | 2005-07-21 |
| 1023386588 | Pamela Ann Werner | Registered Nurse | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2011-12-12 |
| 1528335890 | Senior Care of Colorado | Skilled Nursing Facility | 2400 S Peoria St, Suite 100, Aurora, CO 80014-5476 | 2011-11-30 |
| 1306129697 | Jamie E Baldwin | Physician Assistant | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2011-09-22 |
| 1164700662 | Patricia Louise Stewart | Nurse Practitioner | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2011-08-01 |
| 1932415114 | Phuong-linh Thi Nguyen | Nurse Practitioner | 2400 S Peoria St, Suite 100, Aurora, CO 80014-5476 | 2010-08-25 |
| 1790096238 | Melissa Cardenas | Nurse Practitioner | 2400 S Peoria St, Suite 100, Aurora, CO 80014-5417 | 2010-06-30 |
| 1013247808 | Karlee Chapman | Nurse Practitioner | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2009-12-30 |
| 1285870717 | Sruti Pradhan | Internal Medicine | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2009-01-06 |
| 1689824237 | Mary L Melia | Internal Medicine | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2008-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023347804 | Chureeporn Pardee | Clinical Nurse Specialist | 13123 E. 16th Ave., B395, Aurora, CO 80045 | 2009-12-08 |
| 1326177593 | Wendy L Bresee | Clinical Nurse Specialist | 15200 E Girard Ave, Suite 3500, Aurora, CO 80014 | 2007-03-05 |
| 1104434794 | Hareklia L Brackett | Clinical Nurse Specialist | 12605 E. 16th Avenue, Aurora, CO 80045-2545 | 2020-07-20 |
| 1144475914 | Jan Grantham | Clinical Nurse Specialist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2008-11-20 |
| 1790940252 | Stacey Seggelke | Clinical Nurse Specialist | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2008-07-24 |
| 1942468822 | Maureen Smith Andrews | Clinical Nurse Specialist | 13123 E 16th Ave, Box 467, Aurora, CO 80045-7106 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052249 | Penni Hernandez | Clinical Nurse Specialist | 468 W Sycamore Ct, Louisville, CO 80027-2229 | 2020-01-15 |
| 1396389011 | Jessica Lubs | Clinical Nurse Specialist | 6608 Sleeping Giant Dr, Colorado Springs, CO 80923-5118 | 2019-11-06 |
| 1326607755 | Shannon Johnson Bortolotto | Clinical Nurse Specialist | 4200 Julian St, Denver, CO 80211-1610 | 2019-06-10 |
| 1053897264 | Erin Brooks | Clinical Nurse Specialist | 1606 Pr Ctr Pkwy Ste 230, Brighton, CO 80601-4004 | 2018-07-11 |
| 1922508894 | Darrella Star Montoya | Clinical Nurse Specialist | 2055 E 99th Ave, Thornton, CO 80229-2480 | 2018-02-17 |
| 1316150279 | Patty Stahle Hansen | Clinical Nurse Specialist | 9485 W Colfax, Lakewood, CO 80215 | 2007-05-08 |
| 1255463139 | Karen M Dempsey | Clinical Nurse Specialist | 5632 Bowron Pl, Longmont, CO 80503-8621 | 2007-03-09 |
| 1255479176 | Carolyn J Becker | Clinical Nurse Specialist | 2555 S. Downing, Ste 240, Denver, CO 80210 | 2007-02-02 |
| 1467435347 | Bonnie A Wilensky | Clinical Nurse Specialist | 1000 W South Boulder Rd Ste 110, Lafayette, CO 80026-2753 | 2005-11-23 |
| 1497360838 | Lifespan Psychiatry of Colorado | Clinical Nurse Specialist | 602 26 1/2 Rd, Grand Junction, CO 81506-1905 | 2020-09-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. SALOME N AGBIM.
| 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.