LEAH DERKSEN (NPI# 1922386010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922386010 |
| Entity Type | Individual |
| Full Name | LEAH DERKSEN |
| Credential | NP |
| Practice Address |
2960 N Circle Dr Ste 200 Colorado Springs CO 80909-1163 |
| Practice Telephone | 7196348891 |
| Practice Fax Number | 7196341897 |
| Mailing Telephone | 7196348891 |
| Mailing Fax Number | 7196341897 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2018-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 990102 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 78270766 | 05 |
| Street Address |
2960 N CIRCLE DR STE 200 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80909-1163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881693604 | Tad Reeve Heinz | Surgery | 2960 N Circle Dr, Suite 115, Colorado Springs, CO 80909-1163 | 2005-07-14 |
| 1386138204 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 2960 N Circle Dr, Colorado Springs, CO 80909-1163 | 2018-06-15 |
| 1932571429 | Patrick D Devanny Md PC | Orthopaedic Surgery | 2960 N Circle Dr, Suite 125, Colorado Springs, CO 80909-1163 | 2015-10-23 |
| 1306129069 | Tad R. Heinz Md, PC | Surgery | 2960 N Circle Dr, Suite 115, Colorado Springs, CO 80909-1163 | 2011-09-20 |
| 1366630592 | Interwest Rehabilitation - Scottsdale, LLC | Pain Medicine | 2960 N Circle Dr, Ste. 125, Colorado Springs, CO 80909-1163 | 2007-10-12 |
| 1629199542 | Mylene Glueckert Reinicke | Dentist | 2960 N Circle Dr, Ste 105, Colorado Springs, CO 80909 | 2007-04-02 |
| 1932240520 | Cynthia Renee Bromley-kator | Physician Assistant | 2960 N Circle Dr, Suite 100, Colorado Springs, CO 80909-1163 | 2007-02-08 |
| 1285711044 | Sharon Ann Ortiz | Nurse Practitioner | 2960 N Circle Dr, Suite 100, Colorado Springs, CO 80909-1163 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
| 1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
| 1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
| 1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
| 1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
| 1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
| 1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
| 1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
| 1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
| 1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
| Find all providers in zip 80909 | ||||
| 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 | 80909 |
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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.