AMY K WALL (NPI# 1861711426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861711426 |
| Entity Type | Individual |
| Full Name | AMY K WALL |
| Credential | NP |
| Practice Address |
4105 Briargate Pkwy Suite 125 Colorado Springs CO 80920-3480 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2013-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 96546 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | KAISER COMMERCIAL NUMBER | 23580 | 01 |
| CO | 65274351 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775269 | Amy Denise Wall | Registered Nurse | 315 E Clinton St, Hobbs, NM 88240-8238 | 2018-10-02 |
| 1346751195 | Amy Wall | Nurse Practitioner | 501 Marshall St Ste 104, Jackson, MS 39202-1663 | 2017-10-19 |
| 1023324282 | Amy Carol Wall | Nurse Practitioner | 25 W Division St, Evansville, IN 47710-1374 | 2010-08-26 |
| 1922297654 | Amy Barta Wall | Ophthalmology | 1214 Reynolda Rd, Suite A, Winston Salem, NC 27104-1151 | 2007-10-18 |
| Street Address |
4105 BRIARGATE PKWY SUITE 125 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80920-3480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548756 | Kevin M Haddock | Physical Therapist | 4105 Briargate Pkwy, Ste 255, Colorado Springs, CO 80920-3480 | 2005-12-12 |
| 1700343746 | Daniel Hutchison | Emergency Medicine | 4105 Briargate Pkwy, Colorado Springs, CO 80920-3480 | 2019-02-26 |
| 1033673553 | Sara Jean Brandow | Physical Medicine & Rehabilitation | 4105 Briargate Pkwy, Colorado Springs, CO 80920-3480 | 2019-01-29 |
| 1629518881 | Fay Sonnenburg | Registered Nurse | 4105 Briargate Pkwy, Suite 250, Colorado Springs, CO 80920-3480 | 2017-03-06 |
| 1740633098 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4105 Briargate Pkwy, Ste 125, Colorado Springs, CO 80920-3480 | 2016-07-21 |
| 1881051787 | Mitchell Dawson | Physician Assistant | 4105 Briargate Pkwy, Suite 300, Colorado Springs, CO 80920-3480 | 2016-01-22 |
| 1881015014 | Lisa Winkler | Respiratory Therapist, Registered | 4105 Briargate Pkwy, 125, Colorado Springs, CO 80920-3480 | 2013-12-13 |
| 1932457710 | Maegan I Divecha | Physician Assistant | 4105 Briargate Pkwy, Suite #125, Colorado Springs, CO 80920-3480 | 2012-08-27 |
| 1912261157 | Carol A Forsberg | Social Worker | 4105 Briargate Pkwy, Suite 125, Colorado Springs, CO 80920-3480 | 2012-07-03 |
| 1811261043 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 4105 Briargate Pkwy, #125, Colorado Springs, CO 80920-3480 | 2012-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463409 | Cynthia Cruz | Marriage & Family Therapist | 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 | 2020-09-24 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1114531431 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1205440583 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 | 2020-09-03 |
| 1700490455 | Poudre Valley Medical Group, LLC | Radiology | 4080 Briargate Parkway, Colorado Springs, CO 80920 | 2020-09-01 |
| 1962015792 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-08-31 |
| 1194296491 | Kramer Dentistry Inc | Clinic/Center | 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 | 2018-12-12 |
| 1134602279 | Juliana Plucinik | Assistant Behavior Analyst | 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 | 2018-09-14 |
| 1811473861 | Vsb Colorado Providers Pllc | Dentist | 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 | 2018-07-12 |
| 1336637438 | Children's Hospital Colorado | General Acute Care Hospital | 4090 Briargate Parkway, Colorado Springs, CO 80920 | 2018-04-25 |
| Find all providers in zip 80920 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300950 | Autumn Albert | Nurse Practitioner | 1295 Kelly Johnson Blvd Ste 110, Colorado Springs, CO 80920-3978 | 2020-09-14 |
| 1902416233 | Aja Danielle Petracca-lennon | Nurse Practitioner | 1044 Diamond Rim Dr, Colorado Springs, CO 80921-8429 | 2020-08-02 |
| 1558907220 | Jocelyn Reeves | Nurse Practitioner | 818 E Caramillo St, Colorado Springs, CO 80907-7704 | 2019-11-18 |
| 1558911966 | Sara D Campbell | Nurse Practitioner | 607 N Foote Ave, Colorado Springs, CO 80909-4503 | 2019-09-17 |
| 1841842291 | Lux Injectables, LLC | Nurse Practitioner | 4135 New Santa Fe Trl, Colorado Springs, CO 80924-4406 | 2019-07-15 |
| 1912564725 | Colasanto Partners, LLC | Nurse Practitioner | 3445 Limber Pine Ct, Colorado Springs, CO 80920-2407 | 2019-05-28 |
| 1598277220 | Deirdre Raquel Wolf | Nurse Practitioner | 218 E Cheyenne Mountain Blvd, Colorado Springs, CO 80906-3720 | 2017-11-03 |
| 1720598881 | Danielle Jackson-tross | Nurse Practitioner | 5475 Tech Center Dr, Colorado Springs, CO 80919-2335 | 2017-10-03 |
| 1043754880 | Alethea Hoewisch | Nurse Practitioner | 4110 Briargate Pkwy Ste 465, Colorado Springs, CO 80920-7839 | 2016-12-13 |
| 1619337854 | Jean Schwartz | Nurse Practitioner | 1901 N Union Blvd Ste 105, Colorado Springs, CO 80909-7200 | 2016-03-01 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80920 |
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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.