PEAK PEDIATRICS PLLC (NPI# 1952471971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952471971 |
| Entity Type | Organization |
| Organization Name | PEAK PEDIATRICS PLLC |
| Other Organization Name | PEAK PEDIATRICS |
| Practice Address |
3555 Lutheran Pkwy Ste 340 Wheat Ridge CO 80033-6039 |
| Mailing Address |
3555 Lutheran Pkwy #340 Wheat Ridge CO 80033-6021 |
| Practice Telephone | 3039966005 |
| Practice Fax Number | 3034208831 |
| Mailing Telephone | 3039966005 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-02-07 |
| Authorized Official Name | MELISSA ANN HERRMANN (BILLING MANAGER) |
| Authorized Official Telephone | 3039966005 |
| Authorized Official Credential | CMC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | ========= | CO | Allopathic & Osteopathic Physicians |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 62657763 | 05 | |
| CO | 9000105583 | 05 |
| Other Name | Type Code |
|---|---|
| PEAK PEDIATRICS | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2900 E 136th Ave Ste 201, Thornton, CO 802413542 | 3039966005 | 3034208831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881226363 | Peak Pediatrics Pllc | Pediatrics | 2900 E 136th Ave Ste 201, Thornton, CO 80241-3542 | 2020-02-12 |
| 1871048785 | Peak Pediatrics Pllc | Pediatrics | 2900 E 136th Ave Ste 201, Thornton, CO 80241-3537 | 2016-08-20 |
| Street Address |
3555 LUTHERAN PKWY STE 340 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-6039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477115764 | Kali Elizabeth Kouanchao | Nurse Practitioner | 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033-6039 | 2019-07-08 |
| 1427534585 | Nicole Suzanne Overfield | Social Worker | 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033-6039 | 2018-07-12 |
| 1730679655 | Michele Marie Schnoor | Registered Nurse | 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033-6039 | 2018-05-16 |
| 1578061834 | Samuel Joseph Colgate | Physician Assistant | 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033-6039 | 2018-01-31 |
| 1023330297 | Kelly Chasin | Nurse Practitioner | 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033-6039 | 2010-02-15 |
| 1801047956 | Amanda Jean Sevvom | Physician Assistant | 3555 Lutheran Pkwy Ste 340, Wheat Ridge, CO 80033-6039 | 2008-10-07 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013471580 | Lisa Marie-mausbach Bailey | Clinic/Center | 10474 W 38th Ave, Wheat Ridge, CO 80033-4010 | 2019-01-29 |
| 1710150800 | Apex Family Chiropractic | Clinic/Center | 7200 W 44th Ave, Wheat Ridge, CO 80033-4722 | 2008-04-09 |
| 1841643400 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2016-07-19 |
| 1497930945 | Tjdmedical Center | Clinic/Center | 4251 Kipling St, Suite 560, Wheat Ridge, CO 80033-2896 | 2008-01-03 |
| 1801900576 | Kaiser Foundation Health Plan of Colorado | Clinic/Center | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334746 | Joel Allen Miller | Clinic/Center | 2125 Norwich Dr, Colorado Springs, CO 80920-5332 | 2020-10-25 |
| 1649879214 | Boulder Community Health | Clinic/Center | 101 Erie Pkwy Ste 201h, Erie, CO 80516-4072 | 2020-10-23 |
| 1285233882 | Boulder Community Health | Clinic/Center | 4745 Arapahoe Ave Ste 201, Boulder, CO 80303-1080 | 2020-10-23 |
| 1700485372 | Boulder Community Health | Clinic/Center | 2101 Ken Pratt Blvd Ste 104h, Longmont, CO 80501-6568 | 2020-10-23 |
| 1841899416 | Boulder Community Health | Clinic/Center | 1000 W South Boulder Rd Ste 216a, Lafayette, CO 80026-2089 | 2020-10-23 |
| 1669079794 | Springfield Chiropractic LLC | Clinic/Center | 1302 S. Shields St., Suite A1-2, Fort Collins, CO 80521-4801 | 2020-10-01 |
| 1508470881 | San Luis Valley Community Mental Health Center | Clinic/Center | 260 Worth Street, Center, CO 81125 | 2020-09-03 |
| 1285248732 | San Luis Valley Community Mental Health Center | Clinic/Center | 409 Trinchera St, San Luis, CO 81152 | 2020-09-02 |
| 1629689658 | Yampa Valley Medical Center | Clinic/Center | 705 Marketplace Plz Ste 250, Steamboat Springs, CO 80487-1800 | 2020-08-13 |
| 1841817921 | Strive Health Pa LLC | Clinic/Center | 1600 Stout St Ste 2000, Denver, CO 80202-3113 | 2020-07-06 |
| Find all providers with the same taxonomy | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
Please comment or provide details below to improve the information on PEAK PEDIATRICS PLLC.
| 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.