CRANIAL KIDS (NPI# 1770065237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770065237 |
| Entity Type | Organization |
| Organization Name | CRANIAL KIDS |
| Practice Address |
406 E Grace Ave Ste B Woodland Park CO 80863-3127 |
| Mailing Address |
1624 Sand Rd Woodland Park CO 80863-9206 |
| Practice Telephone | 7196844008 |
| Mailing Telephone | 1719684400 |
| Mailing Fax Number | 7199602074 |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2018-08-31 |
| Authorized Official Name | KRISTEN MICHELLE THESSING (OWNER) |
| Authorized Official Telephone | 7196844008 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 222Z00000X | Orthotist | 02572 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224P00000X | Prosthetist | 02572 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Cranial Kids | 617 N. 17th St., Suite 102, Colorado Springs, CO 80904 |
| Street Address |
406 E GRACE AVE STE B |
| City | WOODLAND PARK |
| State | CO |
| Zip Code | 80863-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093221384 | Kristen Michelle Thessing | Orthotist | 406 E Grace Ave Ste B, Woodland Park, CO 80863-3127 | 2017-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576867 | Poudre Valley Medical Group, LLC | Orthopaedic Surgery | 333 North West Street, Woodland Park, CO 80863 | 2020-07-23 |
| 1003461476 | Alive Connections Counseling, LLC | Community/Behavioral Health | 321 West Henrietta Avenue, Office D-8, Woodland Park, CO 80863 | 2019-08-02 |
| 1720630130 | Jennifer Fuller James | Social Worker | 400 W Midland Ave Ste 100h, Woodland Park, CO 80863 | 2019-07-15 |
| 1558861815 | Thrive Primary Care At Woodland Park LLC | Nurse Practitioner | 1067 Us 24, 276, Woodland Park, CO 80863 | 2018-02-13 |
| 1841712080 | Jamie Andersen | Marriage & Family Therapist | 321 W. Henrietta Ave, Suite B, Woodland Park, CO 80863 | 2017-07-10 |
| 1720438492 | Laurie Kim Warchol | Counselor | 321 West Henrietta, Woodland Park, CO 80863 | 2016-06-14 |
| 1255788402 | Colorado Lions Camp Inc | Respite Care | 28541 Highway 67, Wooodand Park, CO 80863 | 2016-05-18 |
| 1619337193 | Ariana Papi | Specialist/Technologist, Other | 16240 W Hwy 24, Woodland Park, CO 80863 | 2016-02-26 |
| 1104281864 | Daybreak-an Adult Day Program | Respite Care | 404 North Highway 67, Woodland Park, CO 80863 | 2015-12-23 |
| 1104281906 | Kingdom Pediatric Therapy | Speech-Language Pathologist | 1067 E Us Hwy, Pmb 72, Woodland Park, CO 80863 | 2015-12-21 |
| Find all providers in zip 80863 | ||||
| Taxonomy Code | 224P00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Prosthetist |
| A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700314036 | Sunee Kim Watts | Prosthetist | 7400 E Hampden Ave Unit C-5, Denver, CO 80231-4861 | 2017-05-31 |
| 1588813315 | Chad Benton Kincaid | Prosthetist | 1380 Monument Ct, Fruita, CO 81521-3053 | 2008-09-17 |
| 1326034620 | Joseph L Johnson | Prosthetist | 561 E Garden Dr, Ste H, Windsor, CO 80550-3148 | 2005-09-22 |
| 1104425008 | Pawel Brozka | Prosthetist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-21 |
| 1386243459 | Jordan Prindle | Prosthetist | 2290 E Prospect Rd Ste 2, Fort Collins, CO 80525-9768 | 2020-10-20 |
| 1144829219 | Todd Bush | Prosthetist | 415 N Greenwood St Ste E, Pueblo, CO 81003-3173 | 2020-10-20 |
| 1245838523 | Prosthetic Care Clinic LLC | Prosthetist | 6372 Kendall St, Arvada, CO 80003-5045 | 2020-10-09 |
| 1649891805 | Melissa Stockwell | Prosthetist | 384 E Garden of The Gods Rd Ste 140, Colorado Springs, CO 80907-4243 | 2020-04-29 |
| 1841859212 | Jason Paul Griffin | Prosthetist | 3955 E Exposition Ave Ste 102, Denver, CO 80209-5031 | 2019-06-10 |
| 1285121913 | Dennis Luse | Prosthetist | 3955 E. Exposition Ave., Suite #102, Denver, CO 80209 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
| City | WOODLAND PARK |
| Zip Code | 80863 |
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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.