CHILDREN'S HOSPITAL COLORADO (NPI# 1790177616) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790177616 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S HOSPITAL COLORADO |
| Practice Address |
13123 East 16th Avenue B302 Aurora CO 80045 |
| Mailing Address |
13123 E 16th Ave B302 Aurora CO 80045-7106 |
| Practice Telephone | 7207775070 |
| Practice Fax Number | 7207777873 |
| Mailing Telephone | 7207775070 |
| Mailing Fax Number | 7207777873 |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | CLINT L HYATT (INTSTRUCTOR) |
| Authorized Official Telephone | 7207775070 |
| Authorized Official Credential | MS, RN, CPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
APN 0991546 NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881230217 | Children's Hospital Colorado | Clinic/Center | 860 Potomac Cir, Aurora, CO 80011-6714 | 2019-11-20 |
| 1851942023 | Children's Hospital Colorado | Pharmacy | 860 N Potomac Circle, Aurora, CO 80011-6714 | 2019-09-27 |
| 1376104125 | Children's Hospital Colorado | Clinic/Center | 860 N Potomac Cir., Aurora, CO 80011-6750 | 2019-06-24 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| 1053774638 | Children's Hospital Colorado | General Acute Care Hospital | 1830 N Franklin St, Denver, CO 80218-1128 | 2016-04-01 |
| 1689037269 | Children's Hospital Colorado | General Acute Care Hospital | 3615 Martin Luther King Blvd, Denver, CO 80205-4976 | 2016-04-01 |
| 1215398813 | Children's Hospital Colorado | General Acute Care Hospital | 1830 N Franklin St Ste 150, Denver, CO 80218-1128 | 2016-03-10 |
| 1700247301 | Children's Hospital Colorado | General Acute Care Hospital | 9094 E Mineral Cir Ste 110, Centennial, CO 80112-7201 | 2016-03-10 |
| 1629454962 | Children's Hospital Colorado | Clinic/Center | 704 Fortino Blvd Ste A, Pueblo, CO 81008-2087 | 2015-08-10 |
| 1386256444 | Children's Hospital Colorado | Clinic/Center | 4125 Briargate Pkwy, Colorado Springs, CO 80920-7804 | 2020-08-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Children's Hospital Colorado | 13123 East 16th Avenue, Aurora, CO 80045 |
| Colorado Business Entities | Children's Hospital Colorado Health System | 13123 East 16th Avenue, Aurora, CO 80045 |
| Street Address |
13123 EAST 16TH AVENUE B302 |
| City | AURORA |
| State | CO |
| Zip Code | 80045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871701441 | Edwin F. Dezoeten | Pediatrics | 13123 East 16th Avenue, The Children's Hospital, Aurora, CO 80045-7106 | 2007-05-18 |
| 1639738149 | David Ahmad Abazari | Student in an Organized Health Care Education/Training Program | 13123 East 16th Avenue, Dept of Pediatric Dentistry, Aurora, CO 80045-7106 | 2019-06-08 |
| 1740741263 | Torie Silverstone | Dietitian, Registered | 13123 East 16th Avenue, Aurora, CO 80045 | 2019-03-27 |
| 1588149116 | Kaise Holen | Social Worker | 13123 East 16th Avenue, Aurora, CO 80045 | 2018-09-28 |
| 1437697760 | Ellen Guess | Occupational Therapist | 13123 East 16th Avenue, B335 Childrens Hospital Colorado, Aurora, CO 80045 | 2017-02-07 |
| 1497987085 | Arwen Jackson | Speech-Language Pathologist | 13123 East 16th Avenue, Aurora, CO 80045-7106 | 2009-08-14 |
| 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 | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629609680 | Catherine Anne Clark | Clinical Nurse Specialist | 860 Potomac Cir, Aurora, CO 80011-6714 | 2020-01-29 |
| 1407295173 | Sharon Sables-baus | Clinical Nurse Specialist | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2013-06-17 |
| 1215269329 | Lindsey Shaw | Clinical Nurse Specialist | 13123 East 16th Ave, Aurora, CO 80045-1207 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063703437 | Noriko Saito Rothberg | Clinical Nurse Specialist | 2975 Roslyn St, Denver, CO 80238-3325 | 2011-04-20 |
| 1033304829 | Rosalie Jo Bush | Clinical Nurse Specialist | 1056 E 19th Ave, Box 395, Denver, CO 80218-1007 | 2007-09-13 |
Please comment or provide details below to improve the information on CHILDREN'S HOSPITAL COLORADO.
| 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.