MARY ANN BOLKOVATZ


Address: 777 29th St, Suite 401, Boulder, CO 80303-2358
Phone: 3032615037

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 777 29TH ST
SUITE 401
City BOULDER
State CO
Zip Code 80303-2358

Providers in the same location

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

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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
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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
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Competitor

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City BOULDER
Zip Code 80303

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Dataset Information

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.

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