NOVAMENTIS PC (NPI# 1821622176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821622176 |
| Entity Type | Organization |
| Organization Name | NOVAMENTIS PC |
| Practice Address |
2212 Red Edge Hts Colorado Springs CO 80921-7227 |
| Practice Telephone | 7196637330 |
| Mailing Telephone | 7209006250 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | DR. MELANIE FLEUR SANDOVAL (CLINICAL PROVIDER) |
| Authorized Official Telephone | 7209006250 |
| Authorized Official Credential | PHD, AGACNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| N | 261QR1100X |
Clinic/Center Specialization: Research |
Ambulatory Health Care Facilities | ||
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| N | 261QC1800X |
Clinic/Center Specialization: Corporate Health |
Ambulatory Health Care Facilities | ||
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | NovaMentis PC | 15435 Gleneagle Drive, Suite 110, Colorado Springs, CO 80921 |
| Street Address |
2212 RED EDGE HTS |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80921-7227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492929 | Melanie Fleur Sandoval | Nurse Practitioner | 2212 Red Edge Hts, Colorado Springs, CO 80921-7227 | 2019-11-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588279699 | Play 4 Healing Pllc | Counselor | 13550 Northgate Estates Drive, Colorado Springs, CO 80921 | 2020-09-15 |
| 1740894039 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - Md, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1003420324 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - App, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1417519893 | Michelle Wright | Counselor | 11681 Voyager Parkway, Suite 150, Colorado Springs, CO 80921 | 2019-07-05 |
| 1780241083 | Lindsay Afton Barker | Counselor | Whole Kids Co., 11681 Voyager Pkwy, Ste 150, Colorado Springs, CO 80921 | 2019-05-22 |
| 1063076321 | Octavia Cormier | Counselor | 11681 Voyager Pkwy, Unit 150, Colorado Springs, CO 80921 | 2019-04-23 |
| 1225538630 | Northgate Family Chiropractic LLC | Chiropractor | 12245 Voyager Pkwy Ste 124, Colorado Springs, CO 80921 | 2018-02-13 |
| 1942712351 | Candace Grace Kaminski | Massage Therapist | 59 Avocet Loop, Colorado Springs, CO 80921 | 2017-10-26 |
| 1801319108 | Rebecca Freed | Physical Therapist | 13570 Northgate Estates Dr. Ste 100, Colorado Springs, CO 80921 | 2017-07-19 |
| 1174076582 | Jan L Wilkenson | Counselor | Heart Matters Counseling Center, 13550 Northgate Estates Drive, #200, Colorado Springs, CO 80921 | 2016-08-02 |
| Find all providers in zip 80921 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407492929 | Melanie Fleur Sandoval | Nurse Practitioner | 2212 Red Edge Hts, Colorado Springs, CO 80921-7227 | 2019-11-19 |
| 1376981191 | Latrina Shavon Yarbrough | Nurse Practitioner | 2010 Phillips Aly, Colorado Springs, CO 80910-4525 | 2013-06-14 |
| 1134726391 | Christopher Coram | Nurse Practitioner | 75 Printers Pkwy, Colorado Springs, CO 80910-3151 | 2020-10-01 |
| 1760095301 | Laura Marie Dunn | Nurse Practitioner | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2020-08-24 |
| 1205458478 | Alethea Tafoya | Nurse Practitioner | 2222 N Nevada Ave Ste 4004, Colorado Springs, CO 80907-6832 | 2020-05-11 |
| 1356980304 | Carissa Shea | Nurse Practitioner | 2222 N Nevada Ave, Colorado Springs, CO 80907-6819 | 2019-12-21 |
| 1376184853 | Ashley Danielle Fry | Nurse Practitioner | 2550 Tenderfoot Hill St, Colorado Springs, CO 80906-3998 | 2019-10-04 |
| 1356992192 | Hiwot Gebeye | Nurse Practitioner | 2920 N Cascade Ave Ste 300, Colorado Springs, CO 80907-6262 | 2019-09-24 |
| 1174176457 | Alicia Hennessee | Nurse Practitioner | 5799 Stetson Hills Blvd, Colorado Springs, CO 80917-4223 | 2019-07-16 |
| 1336616945 | Jennifer N Campbell | Nurse Practitioner | 1633 Medical Center Pt, Colorado Springs, CO 80907-5700 | 2018-11-01 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80921 |
Please comment or provide details below to improve the information on NOVAMENTIS PC.
| 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.