NERVEPRO (NPI# 1780174169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780174169 |
| Entity Type | Organization |
| Organization Name | NERVEPRO |
| Practice Address |
79 County Road 4103 Granby CO 80446 |
| Mailing Address |
Po Box 150295 Lakewood CO 80215-0295 |
| Practice Telephone | 6107882277 |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | MELISSA HANLEY (AGENT) |
| Authorized Official Telephone | 6107882277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | NervePro LLC | 79 County Road 4103, Granby, CO 80446 |
| Street Address |
79 COUNTY ROAD 4103 |
| City | GRANBY |
| State | CO |
| Zip Code | 80446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674041 | Dianne Drake Foss | Psychologist | The Inn At Silver Creek, 62927 Us-40, Granby, 80446, CO 80446 | 2020-09-21 |
| 1164033056 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 1000 Granby Park Dr., Granby, CO 80446 | 2020-08-13 |
| 1053978627 | Colorado West Regional Mental Health, Inc. | Clinic/Center | 244 E Agate Ave, Granby, CO 80446 | 2019-05-20 |
| 1982190997 | Jordyn Crane | Dietitian, Registered | 480 E. Agate, Granby, CO 80446 | 2018-07-03 |
| 1710473814 | Jeff Thomas Marlor | Dentist | 290 E Agate Avenue, Granby, CO 80446 | 2018-07-02 |
| 1740737204 | River View Counseling, Pllc | Counselor | 195 Third Street, Granby, CO 80446 | 2016-09-01 |
| 1225584519 | Aspen Wind Counseling, LLC | Counselor | 191 E. Agate, Granby, CO 80446 | 2016-08-28 |
| 1386017671 | Sandee Cysewski | Registered Nurse | 40 Fox Drive 103b #2434, Granby, CO 80446 | 2015-11-09 |
| 1508246414 | Caroline Mantel | Case Manager/Care Coordinator | 480 East Agate Avenue, Granby, CO 80446 | 2015-06-05 |
| 1699117960 | Christopher Lee Klockau | Pharmacist | 1001 Thompson Rd, Granby, CO 80446 | 2013-07-26 |
| Find all providers in zip 80446 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073135794 | Denise Hostetler | Specialist/Technologist, Other | 1861 Castlewood Dr, Franktown, CO 80116-9009 | 2020-05-15 |
| 1447887898 | Altitude Neuromonitoring, LLC | Specialist/Technologist, Other | 236 E Rabbit Ct, Silverthorne, CO 80498-9209 | 2020-03-25 |
| 1518597855 | Intact Neuromonitoring, LLC | Specialist/Technologist, Other | 3295 Blake St Apt 304, Denver, CO 80205-2469 | 2020-01-24 |
| 1538635982 | Casey Ryko Jestrovich | Specialist/Technologist, Other | 2318 Hall Ave, Grand Junction, CO 81501-6234 | 2018-10-23 |
| 1376019679 | Taylor Kaufman | Specialist/Technologist, Other | 5460 Ward Rd Ste 220, Arvada, CO 80002-1818 | 2018-10-15 |
| 1598246282 | Multiverse Surgical, LLC | Specialist/Technologist, Other | 2085 Driver Ln, Erie, CO 80516-4707 | 2018-08-22 |
| 1003301979 | Spencer Pankratz | Specialist/Technologist, Other | 4600 S Ulster St Ste 125, Denver, CO 80237-2848 | 2018-06-24 |
| 1871000588 | Peak Neuro Monitoring LLC | Specialist/Technologist, Other | 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 | 2018-01-03 |
| 1548792401 | Breanna Singleton | Specialist/Technologist, Other | 280 E 1st Ave Unit 727, Broomfield, CO 80038-2229 | 2017-03-30 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 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.