ANTONIO STONE (NPI# 1871139337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871139337 |
| Entity Type | Individual |
| Full Name | ANTONIO STONE |
| Credential | APN |
| Practice Address |
4770 Baseline Rd Ste 200 Boulder CO 80303-2668 |
| Practice Telephone | 7208930842 |
| Mailing Telephone | 7208930842 |
| Mailing Fax Number | 6175071426 |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2020-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0994832 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4770 BASELINE RD STE 200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80303-2668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457539603 | Heather L. Steffen | Psychologist | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2008-02-08 |
| 1871123356 | Alexis Larocca | Behavior Technician | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2020-01-23 |
| 1336779172 | Emily Prange | Behavior Technician | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2020-01-21 |
| 1528698339 | Mikio Minobe | Behavior Technician | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2020-01-21 |
| 1336687060 | Sarah Schumacher | Registered Nurse | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2017-02-01 |
| 1942668165 | Joseph Yeretsian, P.C. | Clinic/Center | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2016-02-02 |
| 1154715894 | Marnessa J Bambara | Social Worker | 4770 Baseline Rd Ste 200, Boulder, CO 80303-2668 | 2015-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821583725 | Ariel Meyers | Physical Therapist | Frasier Meadows Retirement Community Dept. of Rehab, 350 Ponca Place, Boulder, CO 80303 | 2018-06-25 |
| 1831683838 | Sandra Ramsey | Occupational Therapist | 350 Ponca, Boulder, CO 80303 | 2018-06-22 |
| 1770085243 | Laura Michelle Boucher | Physical Medicine & Rehabilitation | 5387 Manhattan Cir, Ste 200, Boulder, CO 80303 | 2018-03-01 |
| 1396255568 | Colorado Sports Chiropractic | Chiropractor | 1440 28th St Ste 2, Boulder, CO 80303 | 2017-10-02 |
| 1932618782 | Michele Adrienne Packard | Psychologist | 4410 Arapahoe Suite 140, Boulder, CO 80303 | 2017-09-25 |
| 1134505290 | Bili Blanket Baby, LLC | Durable Medical Equipment & Medical Supplies | 4450 Arapahoe Ave, Suite 100, Boulder, CO 80303 | 2015-07-30 |
| 1710378146 | Jonathan Gardiner Lears | Counselor | 5600 Arapahoe Ave, Suite 102, Boulder, CO 80303 | 2015-02-06 |
| 1114316965 | Northstar Transitions | Substance Abuse Rehabilitation Facility | 75 Manhattan Dr., Suites 110 and 208 Northstar Transitions, Boulder, CO 80303 | 2015-01-16 |
| 1902226434 | Integrated Dermatology of Boulder, Pllc | Dermatology | 2935 Baseline Road, Suite 201, Boulder, CO 80303 | 2014-04-23 |
| 1396160081 | Melissa Rupert | Physical Therapist | 975 Waite Drive, Boulder, CO 80303 | 2014-03-04 |
| Find all providers in zip 80303 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659911907 | Ascent Mental Health | Nurse Practitioner | 5350 Manhattan Cir Ste 201, Boulder, CO 80303-4272 | 2020-01-14 |
| 1437709987 | Shadow Mountain Mental Health | Nurse Practitioner | 6658 Gunpark Dr Ste 201a, Boulder, CO 80301-3375 | 2019-09-17 |
| 1871151308 | Mountain Psychiatry | Nurse Practitioner | 1905 15th St Unit 489, Boulder, CO 80302-5413 | 2019-05-30 |
| 1083990121 | Lindsay Regnery Burke | Nurse Practitioner | 1621 16th St, Boulder, CO 80302-6325 | 2011-11-02 |
| 1750557385 | Linda Geralyn Buseman | Nurse Practitioner | Wardenburg Health Center Php, 119 Ucb, Boulder, CO 80309-0001 | 2008-05-04 |
| 1881681120 | Anne Elizabeth Miller | Nurse Practitioner | 1900 Wardenburg Dr., 119 Ucb, Boulder, CO 80309 | 2005-10-03 |
| 1982606521 | Karen Breunig Hine | Nurse Practitioner | 1333 Iris Ave, Boulder, CO 80304-2226 | 2005-08-12 |
| 1396390480 | Susan Renae Hudson | Nurse Practitioner | 5277 Manhattan Cir Ste 220, Boulder, CO 80303-8201 | 2019-08-06 |
| 1093134579 | Michelle Angela Fisher | Nurse Practitioner | 1155 Alpine Ave Ste 385, Boulder, CO 80304-3422 | 2014-04-10 |
| 1477857175 | Lucinda Ann Griffith | Nurse Practitioner | 1333 Iris Ave, Boulder, CO 80304-2226 | 2011-01-10 |
| Find all providers in BOULDER | ||||
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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.