LESLIE GOLDBERG (NPI# 1891831707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891831707 |
| Entity Type | Individual |
| Full Name | LESLIE GOLDBERG |
| Credential | CNS |
| Practice Address |
4851 Independence St Suite 200 Wheat Ridge CO 80033-6715 |
| Mailing Address |
Po Box 2454 Evergreen CO 80437-2454 |
| Practice Telephone | 3034250300 |
| Practice Fax Number | 3034325071 |
| Mailing Telephone | 3036688729 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2012-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 63903 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 08903953 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083235667 | Leslie Alexis Goldberg | Student in an Organized Health Care Education/Training Program | 701 Park Ave, Minneapolis, MN 55415-1623 | 2020-05-05 |
| 1194927848 | Leslie A. Goldberg | Occupational Therapist | 127 S Broadway, Rehab. Dept., Yonkers, NY 10701-4006 | 2007-06-04 |
| 1467531269 | Leslie G Goldberg | Social Worker | 1030 Turnpike St, Canton, MA 02021-2827 | 2006-11-03 |
| 1205816774 | Leslie P Goldberg | Ophthalmology | 2110 Northern Blvd, Suite 208, Manhasset, NY 11030-3502 | 2006-01-19 |
| Street Address |
4851 INDEPENDENCE ST SUITE 200 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073573457 | Maribeth Eileen Flanagan | Counselor | 4851 Independence St, Suite 200, Wheat Ridge, CO 80033-6715 | 2006-03-28 |
| 1215537055 | Taylor Hilton | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-30 |
| 1326647660 | Carly Jones | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-19 |
| 1760080139 | Sarah Greenbaum | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-16 |
| 1700483526 | Barrette Anne Keeffe | Case Manager/Care Coordinator | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-05 |
| 1871190603 | Tammy Schreckengast | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-05 |
| 1063019206 | Jessica Allen | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-01 |
| 1811594930 | David Joel Urbont | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-10-01 |
| 1114534302 | Taylor A Evergreen | Social Worker | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-09-30 |
| 1477169126 | Jennifer Jordan | Counselor | 4851 Independence St, Wheat Ridge, CO 80033-6715 | 2020-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063052249 | Penni Hernandez | Clinical Nurse Specialist | 468 W Sycamore Ct, Louisville, CO 80027-2229 | 2020-01-15 |
| 1396389011 | Jessica Lubs | Clinical Nurse Specialist | 6608 Sleeping Giant Dr, Colorado Springs, CO 80923-5118 | 2019-11-06 |
| 1326607755 | Shannon Johnson Bortolotto | Clinical Nurse Specialist | 4200 Julian St, Denver, CO 80211-1610 | 2019-06-10 |
| 1053897264 | Erin Brooks | Clinical Nurse Specialist | 1606 Pr Ctr Pkwy Ste 230, Brighton, CO 80601-4004 | 2018-07-11 |
| 1922508894 | Darrella Star Montoya | Clinical Nurse Specialist | 2055 E 99th Ave, Thornton, CO 80229-2480 | 2018-02-17 |
| 1023347804 | Chureeporn Pardee | Clinical Nurse Specialist | 13123 E. 16th Ave., B395, Aurora, CO 80045 | 2009-12-08 |
| 1316150279 | Patty Stahle Hansen | Clinical Nurse Specialist | 9485 W Colfax, Lakewood, CO 80215 | 2007-05-08 |
| 1255463139 | Karen M Dempsey | Clinical Nurse Specialist | 5632 Bowron Pl, Longmont, CO 80503-8621 | 2007-03-09 |
| 1326177593 | Wendy L Bresee | Clinical Nurse Specialist | 15200 E Girard Ave, Suite 3500, Aurora, CO 80014 | 2007-03-05 |
| 1255479176 | Carolyn J Becker | Clinical Nurse Specialist | 2555 S. Downing, Ste 240, Denver, CO 80210 | 2007-02-02 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.