ALEX KIRK (NPI# 1679129621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679129621 |
| Entity Type | Individual |
| Full Name | ALEX KIRK |
| Practice Address |
1455 Dixon Ave Ste 300 Lafayette CO 80026-8880 |
| Mailing Address |
345 Ucb Boulder CO 80309-5003 |
| Practice Telephone | 3034438500 |
| Mailing Telephone | 3032108106 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-09-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1455 DIXON AVE STE 300 |
| City | LAFAYETTE |
| State | CO |
| Zip Code | 80026-8880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700910221 | Guy Michael Guinn | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2007-03-15 |
| 1265047120 | Kelly Megan Shea | Social Worker | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2020-09-08 |
| 1770118838 | Taylor Whaley | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2020-03-10 |
| 1689225054 | Amanda Kay Padgett | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-09-26 |
| 1497302319 | Matthew Cavanna | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-08-26 |
| 1316591092 | Nicholas Wayne Butkovich | Case Manager/Care Coordinator | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-07-30 |
| 1609337401 | Margaret Elizabeth Genevie | Case Manager/Care Coordinator | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-03-26 |
| 1528529419 | Susan Nichols | Technician, Other | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2019-03-25 |
| 1174094783 | Karlie Roshong | Counselor | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2018-12-07 |
| 1063981298 | Melissa Grivy | Peer Specialist | 1455 Dixon Ave Ste 300, Lafayette, CO 80026-8880 | 2018-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
| 1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
| 1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
| 1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
| 1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
| 1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
| 1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
| 1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
| Find all providers in zip 80026 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831726082 | Alyse Meaux | Student in an Organized Health Care Education/Training Program | 99 Wentworth Blvd, Lafayette, LA 70508-4862 | 2020-03-26 |
| 1780210682 | Katelyn Petitfils Joubert | Student in an Organized Health Care Education/Training Program | 112 Soho Cir, Lafayette, LA 70508-4200 | 2020-03-23 |
| 1568098911 | Nathan Fletcher | Student in an Organized Health Care Education/Training Program | 3366 Mt Diablo Blvd # B404, Lafayette, CA 94549-4028 | 2020-03-18 |
| 1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
| 1194286955 | Christopher James Clark | Student in an Organized Health Care Education/Training Program | 2390 W Congress St # 2, Lafayette, LA 70506-4205 | 2019-03-26 |
| 1841759099 | Jeremy White | Student in an Organized Health Care Education/Training Program | 109 Adonis Dr, Lafayette, LA 70506-5402 | 2019-03-18 |
| 1225597446 | Kelsey Doguet | Student in an Organized Health Care Education/Training Program | 109 Saint Michael St, Lafayette, LA 70506-4743 | 2019-03-18 |
| 1841755824 | Madison Tilley | Student in an Organized Health Care Education/Training Program | 3661 Stonegate Ct, Lafayette, IN 47909-7212 | 2019-02-05 |
| 1114491685 | Mallory Mancuso | Student in an Organized Health Care Education/Training Program | 110 Lana Dr, Lafayette, LA 70503-4505 | 2019-01-17 |
| 1417421447 | Maranda Washington | Student in an Organized Health Care Education/Training Program | 202 Reinhardt Drive, Lafayette, LA 70506 | 2019-01-12 |
| Find all providers in LAFAYETTE | ||||
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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.