MS. CHRISTINE L. KISSELBURGH (NPI# 1639523913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639523913 |
| Entity Type | Individual |
| Full Name | MS. CHRISTINE L. KISSELBURGH |
| Credential | M.A.E. |
| Practice Address |
113 Elderberry Dr Fruita CO 81521-9545 |
| Practice Telephone | 9709859999 |
| Mailing Telephone | 9709859999 |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2016-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
113 ELDERBERRY DR |
| City | FRUITA |
| State | CO |
| Zip Code | 81521-9545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070306 | Lower Valley Hospital Association | Psychiatry & Neurology | 551 Kokopelli Blvd Unit G, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1215535943 | Lower Valley Hospital Association | Clinic/Center | 576 Kokopelli Blvd Unit F, -practice Location Npi Only-, Fruita, CO 81521 | 2020-10-14 |
| 1851883284 | Rivers End Dental | Clinic/Center | 532 Raptor Road, Unit B, Fruita, CO 81521 | 2018-06-01 |
| 1427404789 | Path-co, LLC | Day Training, Developmentally Disabled Services | 113 Elderberry Drive, Fruita, CO 81521 | 2016-05-05 |
| 1043518822 | Jonathan E Blaha | Chiropractor | 212 E. Aspen Ave, Fruita, CO 81521 | 2011-03-03 |
| 1881916401 | Diana L Wright | Physician Assistant | 456 Kokopelli Blvd, Suite B, Fruita, CO 81521 | 2010-02-23 |
| 1881878759 | Elizabeth Arena Rook | Internal Medicine | 576 Kokopelli Blvd Unit D-e, Fruita, CO 81521 | 2007-12-27 |
| 1073715348 | Milton Bret Mixon | Speech-Language Pathologist | 551 Kokopelli Blvd Unit B, Fruita, CO 81521 | 2007-05-31 |
| 1306063748 | Scott Douglas Lybrook | Dentist | 551 Kokopelli Blvd, Suite A, Fruita, CO 81521 | 2007-04-19 |
| 1316060684 | Carol Bell Lybrook | Dentist | 551 Kokopelli Ave.,suite A, Fruita, CO 81521 | 2007-04-09 |
| Find all providers in zip 81521 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726136 | Venezia Innovative Services | Day Training/Habilitation Specialist | 16762 E Iliff Ave, Aurora, CO 80013-1135 | 2020-10-03 |
| 1376151282 | Roundup Fellowship Inc | Day Training/Habilitation Specialist | 3443 S Galena St Ste 110, Denver, CO 80231-5079 | 2020-07-16 |
| 1417565326 | Roundup Fellowship Inc | Day Training/Habilitation Specialist | 2121 E La Salle St Ste 100, Colorado Springs, CO 80909-2284 | 2020-07-16 |
| 1285272112 | Seyla Langi | Day Training/Habilitation Specialist | 22620 E Tufts Pl, Aurora, CO 80015-6819 | 2019-12-10 |
| 1790331155 | Alexandria Brockman | Day Training/Habilitation Specialist | 1484 Morningview Ln, Castle Rock, CO 80109-3740 | 2019-08-12 |
| 1720649122 | Discover Goodwill of Southern & Western Colorado | Day Training/Habilitation Specialist | 6850 Federal Blvd, Denver, CO 80221-2628 | 2019-06-26 |
| 1851959977 | Rick Noll | Day Training/Habilitation Specialist | 941 County Road 17, #602, Ouray, CO 81427-0602 | 2019-06-04 |
| 1023583283 | Richard Dean Babcock | Day Training/Habilitation Specialist | 4000 Crosslen Ln, Colorado Springs, CO 80908-3759 | 2018-10-03 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1518473826 | Triuspa LLC | Day Training/Habilitation Specialist | 3090 S Jamaica Ct Ste 102, Aurora, CO 80014-2684 | 2017-12-21 |
| Find all providers with the same taxonomy | ||||
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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.