MARY ANN BOLKOVATZ (NPI# 1770509556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770509556 |
Entity Type | Individual |
Full Name | MARY ANN BOLKOVATZ |
Credential | CNS |
Practice Address |
777 29th St Suite 401 Boulder CO 80303-2358 |
Practice Telephone | 3032615037 |
Mailing Telephone | 3032615037 |
Enumeration Date | 2006-07-14 |
Last Update Date | 2012-12-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
67698 | CO | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
777 29TH ST SUITE 401 |
City | BOULDER |
State | CO |
Zip Code | 80303-2358 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720035306 | Mary Ann Keatley | Speech-Language Pathologist | 777 29th St, Suite 400, Boulder, CO 80303-2358 | 2006-05-28 |
1790141539 | Integrity Dental of Boulder, Ltd | Clinic/Center | 777 29th St, Ste. #300, Boulder, CO 80303-2358 | 2016-01-09 |
1396121083 | Molly Barfield | Physical Therapist | 777 29th St, Suite 102, Boulder, CO 80303-2358 | 2015-08-04 |
1013349380 | Rachelle Kristine Price | Naturopath | 777 29th St, Suite 401, Boulder, CO 80303-2358 | 2013-08-08 |
1548480486 | Corbett William Summers II | Dentist | 777 29th St, Suite #300, Boulder, CO 80303-2358 | 2007-04-25 |
1215084892 | Susan Grace Gamm | Physical Therapist | 777 29th St, Ste 102, Boulder, CO 80303-2358 | 2007-01-04 |
1427153055 | Ricardo Esparza | Psychologist | 777 29th St, Suite 400, Boulder, CO 80303-2358 | 2006-09-14 |
1396758835 | Brian Thomas Shea | Neuromusculoskeletal Medicine & OMM | 777 29th St, 400, Boulder, CO 80303-2358 | 2006-08-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
Find all providers in zip 80303 |
Taxonomy Code | 364SP0809X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134592256 | Integration Mental Health | Clinical Nurse Specialist | 1919 65th Ave Ste C, Greeley, CO 80634-7965 | 2015-11-11 |
1730576042 | Adriana Frazier | Clinical Nurse Specialist | 700 Potomac St., Aurora, CO 80011 | 2015-04-24 |
1013210038 | Donna Strickland | Clinical Nurse Specialist | 7772 E 8th Pl, Denver, CO 80230-7032 | 2010-12-14 |
1083865679 | Maureen Doran | Clinical Nurse Specialist | 900 S Garfield St, Denver, CO 80209-5006 | 2008-10-01 |
1306962220 | Nicolette Gagliano | Clinical Nurse Specialist | 1231 S Parker Rd Ste 102a, Denver, CO 80231-2157 | 2007-03-22 |
1467590786 | Linda Grimm Willits | Clinical Nurse Specialist | 1776 S Jackson S, Suite #1009, Denver, CO 80210-3809 | 2007-02-01 |
1134274939 | Cameron-k Garrett | Clinical Nurse Specialist | 7010 Broadway Ste 210, Suite 210, Denver, CO 80221-2921 | 2007-01-24 |
1619051000 | Marianne E Webb | Clinical Nurse Specialist | 5310 Ward Rd Ste 102e, Arvada, CO 80002-1829 | 2006-10-24 |
1144300781 | Carolyn Lee Dacres | Clinical Nurse Specialist | 4155 E Jewell Ave Ste 225, Denver, CO 80222-4506 | 2006-10-17 |
1649258591 | Elinor L Bethke | Clinical Nurse Specialist | 711 Diamond Dr, Alamosa, CO 81101-2016 | 2006-01-01 |
Find all providers with the same taxonomy |
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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.