DEIRDRE RAQUEL WOLF (NPI# 1598277220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598277220 |
| Entity Type | Individual |
| Full Name | DEIRDRE RAQUEL WOLF |
| Credential | AGNP |
| Practice Address |
218 E Cheyenne Mountain Blvd Colorado Springs CO 80906-3720 |
| Practice Telephone | 8508791801 |
| Practice Fax Number | 7193963003 |
| Mailing Telephone | 7193963003 |
| Mailing Fax Number | 7193963003 |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2018-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | APN0993468-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 218 E Cheyenne Mountain Blvd, Colorado Springs, CO 809063720 | 8508791801 | 7193963003 |
| Street Address |
218 E CHEYENNE MOUNTAIN BLVD |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80906-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372838 | Revive of Colorado, Pllc | Nurse Practitioner | 218 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3720 | 2018-04-05 |
| 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 |
| Find all providers in zip 80906 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300950 | Autumn Albert | Nurse Practitioner | 1295 Kelly Johnson Blvd Ste 110, Colorado Springs, CO 80920-3978 | 2020-09-14 |
| 1902416233 | Aja Danielle Petracca-lennon | Nurse Practitioner | 1044 Diamond Rim Dr, Colorado Springs, CO 80921-8429 | 2020-08-02 |
| 1558907220 | Jocelyn Reeves | Nurse Practitioner | 818 E Caramillo St, Colorado Springs, CO 80907-7704 | 2019-11-18 |
| 1558911966 | Sara D Campbell | Nurse Practitioner | 607 N Foote Ave, Colorado Springs, CO 80909-4503 | 2019-09-17 |
| 1841842291 | Lux Injectables, LLC | Nurse Practitioner | 4135 New Santa Fe Trl, Colorado Springs, CO 80924-4406 | 2019-07-15 |
| 1912564725 | Colasanto Partners, LLC | Nurse Practitioner | 3445 Limber Pine Ct, Colorado Springs, CO 80920-2407 | 2019-05-28 |
| 1720598881 | Danielle Jackson-tross | Nurse Practitioner | 5475 Tech Center Dr, Colorado Springs, CO 80919-2335 | 2017-10-03 |
| 1043754880 | Alethea Hoewisch | Nurse Practitioner | 4110 Briargate Pkwy Ste 465, Colorado Springs, CO 80920-7839 | 2016-12-13 |
| 1619337854 | Jean Schwartz | Nurse Practitioner | 1901 N Union Blvd Ste 105, Colorado Springs, CO 80909-7200 | 2016-03-01 |
| 1730312497 | Cristi Bundukamara | Nurse Practitioner | 3720 Sinton Rd Ste 104, Colorado Springs, CO 80907-5085 | 2009-08-28 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80906 |
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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.