GRACE E SLATE (NPI# 1669544813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669544813 |
| Entity Type | Individual |
| Full Name | GRACE E SLATE |
| Credential | CPNP |
| Practice Address |
7862 W Mansfield Pkwy Lakewood CO 80235-1934 |
| Practice Telephone | 3039874546 |
| Practice Fax Number | 3039874547 |
| Mailing Telephone | 3039874546 |
| Mailing Fax Number | 3039874547 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2015-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
105107 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | MEDICAID GROUP NUMBER | 59931744 | 01 |
| NE | 10025570100 | 05 | |
| CO | MEDICAID GROUP PRACTICE # | 88150062 | 01 |
| CO | 01278711 | 05 | |
| WY | 1669544813 | 05 |
| Street Address |
7862 W MANSFIELD PKWY |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80235-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790392686 | Taylor Gould | Psychologist | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2020-09-25 |
| 1265058226 | Ashley Uney | Nurse Practitioner | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2020-06-24 |
| 1790343929 | Antoinette Schmitz | Nurse Practitioner | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2019-06-03 |
| 1750825824 | Amanda Kelly Hill | Nurse Practitioner | 7862 W Mansfield Pkwy, Bldg 94, Lakewood, CO 80235-1934 | 2016-12-08 |
| 1518274075 | Justin Blue Dentry | Counselor | 7862 W Mansfield Pkwy, Building, Lakewood, CO 80235-1934 | 2010-09-04 |
| 1053627141 | Katherine Labore | Counselor | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2010-08-26 |
| 1508188640 | Tasos A Belegratis Dds, PC | Dentist | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2010-02-17 |
| 1740410406 | Mike Alex Lyons | Counselor | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2009-07-15 |
| 1295973410 | Anthony L Jackson | Counselor | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2009-01-26 |
| 1346486750 | Marisa Lynn Reynolds | Counselor | 7862 W Mansfield Pkwy, Lakewood, CO 80235-1934 | 2009-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295244051 | Nicole Gan | Behavioral Analyst | 7220w. Jefferson Ave Suite 202, Lakewood, CA 80235 | 2017-09-25 |
| 1336684059 | Preferred Homecare Infusion, LLC | Durable Medical Equipment & Medical Supplies | 6900 W Jefferson Ave Ste 130, Lakewood, CO 80235 | 2017-01-04 |
| 1457501637 | Patrick John Rydell | Speech-Language Pathologist | 3636 S. Independence St., Lakewood, CO 80235 | 2008-09-24 |
| 1164631644 | Carole M. Emanuel | Dentist | 7373 West Jefferson Ave., Suite #304, Lakewood, CO 80235 | 2007-05-22 |
| 1235259680 | Christopher David Elson | Dentist | 7373 W. Jefferson Ave #403, Lakewood, CO 80235 | 2007-03-30 |
| 1750420840 | Kelly Z Crim | Counselor | 3900 S. Wadsworth Blvd Suite 360, Lakewood, CO 80235 | 2007-02-05 |
| 1750469714 | Paul Henry Arendt | Dentist | 7373 W Jefferson Ave #304, Lakewood, CO 80235 | 2006-11-01 |
| 1750491544 | Sharon Diane Hilderbrant | Psychologist | 7220 W Jefferson Ave, Suite 307, Lakewood, CO 80235 | 2006-08-30 |
| 1346766466 | Jayden Brooke Cornejo | Behavior Technician | 7220 W Jefferson Ave Ste 202, Lakewood, CO 80235 | 2017-08-21 |
| 1114478575 | Brennan Bonati | Dentist | 7373 W Jefferson Ave, Lakewood, CO 80235 | 2016-10-20 |
| Find all providers in zip 80235 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568099182 | Megan Mackenzie Novak | Nurse Practitioner | 11820 Edgewater Dr Apt 106, Lakewood, OH 44107-1767 | 2020-03-24 |
| 1003045204 | Amy Michelle Medalie | Nurse Practitioner | 255 Union Blvd Ste 120, Lakewood, CO 80228-1833 | 2009-07-08 |
| 1447367198 | Brenda Digiulio | Nurse Practitioner | 14701 Detroit Ave Ste 522, Lakewood, OH 44107-4109 | 2006-08-25 |
| 1275520405 | Michelle Marie Hayes | Nurse Practitioner | 9101 Bridgeport Way Sw, Suite A, Lakewood, WA 98499 | 2005-10-03 |
| 1053959544 | Ahuva Hollander | Nurse Practitioner | 400 Madison Ave, Lakewood, NJ 08701-3225 | 2019-12-15 |
| 1952786824 | Leanne Beth Wellbrock | Nurse Practitioner | 255 Union Blvd Ste 120, Lakewood, CO 80228 | 2015-07-21 |
| 1396149662 | Michelle Scianna | Nurse Practitioner | 14701 Detroit Ave, Suite 522, Lakewood, OH 44107-4115 | 2014-10-15 |
| 1578964771 | Lauren Sterner | Nurse Practitioner | 2020 Wadsworth Blvd, Suite Number 16, Lakewood, CO 80214-5728 | 2014-09-08 |
| 1770908071 | Christine Logue | Nurse Practitioner | 645 Parfet St, Lakewood, CO 80215-5574 | 2014-02-23 |
| 1093053159 | Rebecca Kr Freeman | Nurse Practitioner | 255 Union Blvd, 120, Lakewood, CO 80228-1810 | 2013-01-24 |
| Find all providers in LAKEWOOD | ||||
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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.