SUSAN LYNN HEPBURN (NPI# 1740695816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740695816 |
| Entity Type | Individual |
| Full Name | SUSAN LYNN HEPBURN |
| Credential | PH.D. |
| Practice Address |
13121 E 17th Ave Ste C234 Jfk Partners Education South Anschutz Medical Campus Aurora CO 80045-2596 |
| Practice Telephone | 3037245678 |
| Mailing Telephone | 3037245678 |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
0002875 | CO | Behavioral Health & Social Service Providers |
| Street Address |
13121 E 17TH AVE STE C234 JFK PARTNERS EDUCATION SOUTH ANSCHUTZ MEDICAL CAMPUS |
| City | AURORA |
| State | CO |
| Zip Code | 80045-2596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790039782 | Emily Remshart Hoyt | Physical Therapist | 13121 E 17th Ave Ste C234, Aurora, CO 80045-2596 | 2012-10-30 |
| 1417470683 | Joelle Chengli Fang | Speech-Language Pathologist | 13121 E 17th Ave Ste C234, Aurora, CO 80045-2596 | 2017-07-19 |
| 1548715873 | Maria Anne Larson | Physical Therapist | 13121 E 17th Ave Ste C234, Education 2 South, 5th Fl, Aurora, CO 80045-2596 | 2016-08-16 |
| 1679966386 | Yelena Genchanok | Occupational Therapist | 13121 E 17th Ave Ste C234, Aurora, CO 80045-2596 | 2015-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817408 | Salwa Mourtada Bamba | Nurse Practitioner | University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-09-29 |
| 1114545233 | Chun Cheong Tsui | Student in an Organized Health Care Education/Training Program | 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 | 2020-07-07 |
| 1487278719 | James Charles Tuka IIi | Social Worker | 1700 North Wheeling, Aurora, CO 80045 | 2020-06-02 |
| 1427677806 | Justin Yu | Student in an Organized Health Care Education/Training Program | 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 | 2020-04-15 |
| 1558980011 | Erik Von Polsdofer | Student in an Organized Health Care Education/Training Program | Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 | 2020-04-14 |
| 1831718568 | Luke Porter Bacon | Student in an Organized Health Care Education/Training Program | 3001 East 17th Place, Aurora, CO 80045 | 2020-04-13 |
| 1366061368 | Hilary Novatt | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 | 2020-04-10 |
| 1376195362 | Katie Tuck | Pharmacist | 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 | 2019-07-10 |
| 1518529130 | Ronak Kamal Kapadia | Student in an Organized Health Care Education/Training Program | 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 | 2019-07-03 |
| 1245898253 | Rasha Elbadry Ahmed | Student in an Organized Health Care Education/Training Program | Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 | 2019-06-04 |
| Find all providers in zip 80045 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699217778 | Bradley Kent Jackson | Psychologist | 13123 E 16th Ave # 245, Aurora, CO 80045-7106 | 2016-11-07 |
| 1811301153 | Rachel Ahern | Psychologist | 1298 Peoria St, Aurora, CO 80011-6206 | 2014-06-15 |
| 1275856890 | Idalia Massa | Psychologist | 12631 E 17th Ave Rm 3408, Blg: Ao1, Ms: F406, Uc School of Medicine, Aurora, CO 80045-2527 | 2010-03-10 |
| 1851546394 | Ashley Danner Sward | Psychologist | 13001 E 17th Ave Fl 2, Aurora, CO 80045-2505 | 2008-11-25 |
| 1447800859 | Layla Leilani Schimmel | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-09-17 |
| 1881247401 | Courtney Lynn | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-07-23 |
| 1326509738 | Michelle Clementi | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-03-28 |
| 1851886584 | Catherine Naclerio | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2018-06-25 |
| 1679083992 | Alexandra Ament | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2017-10-02 |
| 1326564428 | Catherine Wolcott | Psychologist | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2017-08-21 |
| Find all providers in AURORA | ||||
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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.