KIRSTIN LEA BERGSTROM (NPI# 1659899789) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659899789 |
| Entity Type | Individual |
| Full Name | KIRSTIN LEA BERGSTROM |
| Credential | PA-C |
| Practice Address |
4900 E Kentucky Ave Denver CO 80246-2365 |
| Mailing Address |
1600 Fillmore St Apt 1-127 Denver CO 80206-1598 |
| Practice Telephone | 3037560101 |
| Mailing Telephone | 6788495256 |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0005073 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4900 E KENTUCKY AVE |
| City | DENVER |
| State | CO |
| Zip Code | 80246-2365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942265624 | Cherry Creek Pediatrics, PC | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2006-04-18 |
| 1477194991 | Christian Cole Stephens | Physician Assistant | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2019-10-06 |
| 1659734036 | Ali Nell Russell | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2016-04-01 |
| 1063732899 | Mandy Elyse Hyatt | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2010-06-03 |
| 1922321355 | Laura Cecile Forest | Physician Assistant | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2010-03-12 |
| 1881926194 | Rachel Schmela | Nurse Practitioner | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2010-02-11 |
| 1467694562 | Amy Alison Pierce | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2009-04-03 |
| 1508991936 | Jody L Mathie | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2007-02-23 |
| 1982739223 | Matthew Patrick Dorighi | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2007-02-23 |
| 1104951458 | Richard Gustafson | Pediatrics | 4900 E Kentucky Ave, Denver, CO 80246-2365 | 2007-02-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043872377 | Anisha M Boggiano | Occupational Therapy Assistant | 4500 S Cherry Creek Dr, Suite 710, Denver, CO 80246 | 2019-07-08 |
| 1558824961 | Whitney Lynn Frisch | Licensed Practical Nurse | 4500 Cherry Creek S. Drive, Suite 710, Glendale, CO 80246 | 2019-04-11 |
| 1952865834 | Toni Qualantone | Counselor | 720 S Colorado Blvd., North Tower Penthouse, Suite 1353n, Denver, CO 80246 | 2019-01-25 |
| 1790255313 | Core Dermatology, Pllc | Dermatology | 425 South Cherry Suite 907, Glendale, CO 80246 | 2018-11-26 |
| 1689160194 | Alexia Bounkhong | Optometrist | 850 S Dahlia Circle, Apt F105, Denver, CO 80246 | 2018-07-09 |
| 1811494214 | Freedom Career Services LLC | Case Manager/Care Coordinator | 5300 E Cherry Creek South Dr Apt 522, Denver, CO 80246 | 2018-04-11 |
| 1801398094 | Megan Reynolds | Counselor | 1017 S. Birch St., B106, Glendale, CO 80246 | 2018-03-02 |
| 1295242014 | Seth Cameron Bender | Counselor | 720 S. Colorado Blvd., North Penthouse Tower, Suite 1353n, Denver, CO 80246 | 2018-01-02 |
| 1679093991 | Jeffery Washington | Counselor | 1066 S. Dahlia St. E32, Denver, CO 80246 | 2017-06-27 |
| 1013457795 | Jeff Johnston Dds PC | Dentist | 4500 East Cherry Creek Dr South, 100, Denver, CO 80246 | 2017-03-01 |
| Find all providers in zip 80246 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1346849957 | Brittany Elizabeth Driscoll | Physician Assistant | 3056 S Grape Way, Denver, CO 80222-6810 | 2020-10-23 |
| 1912506528 | Christina Walley | Physician Assistant | 1111 Ash St Apt 701, Denver, CO 80220-3758 | 2020-10-23 |
| 1184223794 | Mckenzie Grace | Physician Assistant | 50 N Clarkson St Apt 205, Denver, CO 80218-3739 | 2020-10-23 |
| 1679183909 | Skye Smock | Physician Assistant | 3704 Dexter St, Denver, CO 80207-1045 | 2020-08-02 |
| 1558982397 | Aubrey Leigh Griffiths | Physician Assistant | 2890 Brighton Blvd Unit 347, Denver, CO 80216-5057 | 2020-05-04 |
| 1629616438 | Danielle Lacy | Physician Assistant | 5033 Tucson Way, Denver, CO 80239-4339 | 2019-12-12 |
| 1811531189 | Valerie C Sarni | Physician Assistant | 5974 Central Park Blvd, Denver, CO 80238-3993 | 2019-10-30 |
| 1578105615 | Mackenzie Dwyer | Physician Assistant | 295 E Speer Blvd Apt 339, Denver, CO 80203-3562 | 2019-10-10 |
| 1871149831 | Miles Saenger | Physician Assistant | 6127 S Hwy 16, Denver, NC 28037-9220 | 2019-08-15 |
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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.