KELLY BRENNAN (NPI# 1912505603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912505603 |
| Entity Type | Individual |
| Full Name | KELLY BRENNAN |
| Credential | RN |
| Practice Address |
1125 Three Springs Blvd Durango CO 81301-9033 |
| Mailing Address |
198 Concho Cir Bayfield CO 81122-9365 |
| Practice Telephone | 9704030180 |
| Mailing Telephone | 7737593214 |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2020-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | 1669624 | CO | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174131098 | Kelly Leann Brennan | Physical Therapy Assistant | 8679 E San Alberto, Scottsdale, AZ 85258-4368 | 2020-07-16 |
| 1073944369 | Kelly Elizabeth Brennan | Dietitian, Registered | 837 Southwood Blvd, Incline Village, NV 89451-7434 | 2013-12-11 |
| 1083619522 | Kelly M Brennan | Physical Therapist | 701 Th Ave Nw, Suite B, Aberdeen, SD 57401 | 2005-06-20 |
| 1871100685 | Kelly Lynn Brennan | Behavior Technician | 1413 Tech Blvd Ste 122, Tampa, FL 33619-7822 | 2020-09-25 |
| 1932673902 | Kelly Brennan | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2019-01-14 |
| 1508314527 | Kelly Anne Brennan | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2016-09-19 |
| 1982052999 | Kelly Rose Brennan | Audiologist | 6060 Hellyer Ave, Suite 150, San Jose, CA 95138-1046 | 2016-05-31 |
| 1619221462 | Kelly Brennan | Occupational Therapy Assistant | 200 Jhf Dr, Pittsburgh, PA 15217-2950 | 2012-11-01 |
| 1033468244 | Kelly Ann Brennan | Occupational Therapist | 2250 Hickory Rd, Suite 240, Plymouth Meeting, PA 19462-1047 | 2012-09-04 |
| 1164630075 | Kelly Marie Brennan | Speech-Language Pathologist | 214 Lake St, Child Development Center, Shrewsbury, MA 01545-3960 | 2007-05-21 |
| Street Address |
1125 THREE SPRINGS BLVD |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-9033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821105644 | Paul A Mattox | Psychiatry & Neurology | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2006-08-25 |
| 1750901260 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2020-04-24 |
| 1770110926 | Southwest Colorado Mental Health Center, Inc | Clinic/Center | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2020-03-26 |
| 1578196572 | Ernest Garcia | Registered Nurse | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2020-02-18 |
| 1376189860 | Kimberly Mae Williams | Social Worker | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2019-11-20 |
| 1891264677 | Caitlin Marie Morris | Social Worker | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2018-11-21 |
| 1689141848 | Kathryn Marston Lundvall | Counselor | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2018-10-25 |
| 1013492123 | Joseph Frank Prekup | Counselor | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2018-09-25 |
| 1013412709 | Tracy Farmer | Social Worker | 1125 Three Springs Blvd, Durango, CO 81301 | 2018-03-26 |
| 1083122261 | Taylor Paige Messina | Counselor | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2018-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619414422 | Velvet Jackson | Registered Nurse | 450 S Camino Del Rio Ste 102, Durango, CO 81301-6856 | 2017-01-31 |
| 1467812248 | Courtney M. Benziger | Registered Nurse | 46 Suttle St, Durango, CO 81303-7947 | 2016-03-07 |
| 1730576844 | Four Corners Naturopathic | Registered Nurse | 48 County Road 250 Unit 7, Durango, CO 81301-8848 | 2015-04-16 |
| 1346596855 | Kristi Deanne Stump | Registered Nurse | 281 Sawyer Drive, Durango, CO 81303 | 2012-08-02 |
| 1356505655 | Sharn Amelia Wimer-norton | Registered Nurse | 157 E 6th Ave, Durango, CO 81301-5729 | 2008-07-16 |
| 1972557395 | Betsy S. Kastak | Registered Nurse | 810 E 3rd St Unit 301, Durango, CO 81301-5760 | 2006-05-20 |
| 1891791737 | Suzanne D Rodman | Registered Nurse | 16 Ophir Dr, Durango, CO 81301-8800 | 2005-06-24 |
| 1578196572 | Ernest Garcia | Registered Nurse | 1125 Three Springs Blvd, Durango, CO 81301-9033 | 2020-02-18 |
| 1285193615 | Johanna B Martin | Registered Nurse | 281 Sawyer Dr Ste 300, Durango, CO 81303-3412 | 2019-03-15 |
| 1730665928 | Katrina Lindborg | Registered Nurse | 46 Suttle St, Durango, CO 81303-7947 | 2018-07-11 |
| Find all providers in DURANGO | ||||
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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.