KELLI JEAN PERRY (NPI# 1669795571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669795571 |
| Entity Type | Individual |
| Full Name | KELLI JEAN PERRY |
| Other Name | KELLI JEAN EBERHARDT |
| Credential | PA-C |
| Practice Address |
165 S. Union Blvd. Ste #800 Lakewood CO 80228 |
| Mailing Address |
1707 Cole Blvd. Ste #100 Golden CO 80401 |
| Practice Telephone | 3039882680 |
| Practice Fax Number | 3039868057 |
| Mailing Telephone | 3037168018 |
| Mailing Fax Number | 3037635495 |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2017-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1846 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 18170340 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295105708 | Kelli Perry | Behavioral Analyst | 510 Whispering Wind Dr, Suite 110, Tracy, CA 95377-8119 | 2015-09-28 |
| Street Address |
165 S. UNION BLVD. STE #800 |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912937053 | Frances T. Palmer | Internal Medicine | 165 S. Union Blvd., Ste # 800, Lakewood, CO 80228 | 2006-07-04 |
| 1316299092 | Molly Colleen Mccabe | Physician Assistant | 165 S. Union Blvd., Ste #800, Lakewood, CO 80228 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| 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 |
|---|---|---|---|---|
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1891394334 | Robert Clower | Physician Assistant | 285 Zang St Apt I2832, Lakewood, CO 80228-1032 | 2020-10-24 |
| 1639778277 | Lindsay Marie Schulz Mustard | Physician Assistant | 7293 W Kentucky Dr Apt B, Lakewood, CO 80226-4920 | 2020-10-24 |
| 1316552946 | Madelynn Lea Fretto | Physician Assistant | 101 Prospect St Ste 107, Lakewood, NJ 08701-5003 | 2020-09-10 |
| 1467075309 | Allison Mckinney | Physician Assistant | 1471 Newman Ave, Lakewood, OH 44107-5117 | 2020-05-27 |
| 1598392466 | Pauline Imelda Salguero | Physician Assistant | 4202 Maybank Ave, Lakewood, CA 90712-3910 | 2020-03-23 |
| 1033745096 | Kelsey Taylor Horton | Physician Assistant | 939 S Johnson Way, Lakewood, CO 80226-4043 | 2020-03-20 |
| 1700425154 | Mary Beth Jacobson | Physician Assistant | 2192 Lewis Dr, Lakewood, OH 44107-6141 | 2020-01-02 |
| 1023651908 | Molly Mclean | Physician Assistant | 7700 W Virginia Ave Unit B, Lakewood, CO 80226-3144 | 2019-10-23 |
| 1831743889 | Dov Berish Zeitman | Physician Assistant | 30 Serenity Way, Lakewood, NJ 08701-4060 | 2019-07-29 |
| 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.