FLORISSANT FAMILY MEDICINE, LLC (NPI# 1871124248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871124248 |
| Entity Type | Organization |
| Organization Name | FLORISSANT FAMILY MEDICINE, LLC |
| Practice Address |
18172 County Road 1 Florissant CO 80816-9668 |
| Mailing Address |
18172 County Road 1 Ste 1 Florissant CO 80816-9668 |
| Practice Telephone | 7198391923 |
| Practice Fax Number | 7209274011 |
| Mailing Telephone | 7198391923 |
| Mailing Fax Number | 7209274011 |
| Enumeration Date | 2020-02-03 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | DR. DEANNA L MCNULTY (OWNER) |
| Authorized Official Telephone | 7198391923 |
| Authorized Official Credential | DNP, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Florissant Family Medicine, LLC | 18100 County Road 1, Florissant, CO 80816 |
| Street Address |
18172 COUNTY ROAD 1 |
| City | FLORISSANT |
| State | CO |
| Zip Code | 80816-9668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194208736 | Deanna L Mcnulty | Nurse Practitioner | 18172 County Road 1, Florissant, CO 80816-9668 | 2018-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275053761 | Mountain Key Rx | Pharmacy | 18172 Teller County Road 1, Florissant, CO 80816 | 2017-06-26 |
| 1093299570 | Brent J. Stein I | Pharmacist | 18172 Teller County Road 1, Florissant, CO 80816 | 2018-09-20 |
| 1518158104 | Sondra Sabourin | Counselor | 364 Granite Rd, Florissant, CO 80816-8219 | 2007-08-07 |
| 1255452587 | Four Mile Emergency Services, Inc. | Emergency Medical Technician, Paramedic | 8437 Teller Co. Rd. 11, Florissant, CO 80816-8609 | 2007-04-03 |
| 1619473386 | Kerry Duane Hammack | Counselor | 2277 N Mountain Estates Rd, Florissant, CO 80816-8957 | 2018-04-02 |
| 1700241361 | Monique Julia Ekker | Counselor | 13576 County Rd 1, Florissant, CO 80816-9001 | 2015-12-28 |
| 1447811518 | Stefanie Skidmore | Counselor | 13576 County Rd 1, Florissant, CO 80816-9001 | 2019-06-27 |
| 1508338575 | Outside Rein, LLC | Counselor | 13576 County Rd 1, Florissant, CO 80816-9001 | 2018-12-31 |
| 1275944910 | David Robert Jacobs | Home Health Aide | 58 Juniper Cir, Florissant, CO 80816-9008 | 2014-05-15 |
| 1013947985 | Patricia Ann Glatfelter | Specialist | 989 Matterhorn Dr, Florissant, CO 80816-9017 | 2006-07-04 |
| Find all providers in zip 80816 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679640007 | Physician Groups Lc | Clinic/Center | 3528 Patterson Rd, Florissant, MO 63031-1311 | 2006-11-29 |
| 1629381751 | Edward A. Puro, M.d.p.c. | Clinic/Center | 11115 New Halls Ferry Rd, Suite 306, Florissant, MO 63033-7613 | 2010-07-19 |
| 1174699243 | Physician Groups Lc | Clinic/Center | 1150 Graham Rd, Suite 101, Florissant, MO 63031-8077 | 2006-11-28 |
| 1851467997 | Physician Groups Lc | Clinic/Center | 1224 Graham Rd, Suite 3003, Florissant, MO 63031-8028 | 2006-11-28 |
| 1043386162 | Physician Groups Lc | Clinic/Center | 1225 Graham Rd, Suite 220, Florissant, MO 63031-8014 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578160396 | Little Poudre Family Clinic LLC | Clinic/Center | 3817 W County Rd 54g, Laporte, CO 80535 | 2020-10-05 |
| 1548874761 | Scl Health Medical Group - Denver, LLC | Clinic/Center | 23770 E Smoky Hill Rd Ste 240, Aurora, CO 80016-3089 | 2020-09-04 |
| 1134731581 | Cync Health, Inc | Clinic/Center | 9284 Desert Willow Rd, Highlands Ranch, CO 80129-5715 | 2020-08-18 |
| 1992315279 | Gunnison Valley Family Physicians Crested Butte | Clinic/Center | 214 6th Street, Suite 1, Crested Butte, CO 81224 | 2020-08-03 |
| 1386261493 | Keystone Primary Care | Clinic/Center | 11111 E Mississippi Ave Ste 112, Aurora, CO 80012-3106 | 2020-07-06 |
| 1518582865 | Pediatrics West, P.C. | Clinic/Center | 13402 W Coal Mine Ave Ste 200, Littleton, CO 80127-5407 | 2020-06-12 |
| 1902420862 | Cloud Medical LLC | Clinic/Center | 3601 Arapahoe Ave # D-176, Boulder, CO 80303-1310 | 2020-06-05 |
| 1063034221 | Premier Primary Care Clinic LLC | Clinic/Center | 3000 Lawrence St, Denver, CO 80205-3422 | 2020-05-11 |
| 1992330500 | Quality Medical Clinic LLC | Clinic/Center | 3604 Galley Rd Ste 201, Colorado Springs, CO 80909-4301 | 2020-03-04 |
| 1992344659 | Metropolitan General Practice PC | Clinic/Center | 7400 E Crestline Cir Ste 105, Greenwood Village, CO 80111-3656 | 2019-12-29 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 80816 |
Please comment or provide details below to improve the information on FLORISSANT FAMILY MEDICINE, LLC.
| 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.