DIANE STATES (NPI# 1972909067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972909067 |
| Entity Type | Individual |
| Full Name | DIANE STATES |
| Credential | RNBSN |
| Practice Address |
12055 W 2nd Pl Lakewood CO 80228-1506 |
| Practice Telephone | 3034250300 |
| Mailing Telephone | 3034250300 |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2014-11-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
86216 | CO | Nursing Service Providers |
| Street Address |
12055 W 2ND PL |
| City | LAKEWOOD |
| State | CO |
| Zip Code | 80228-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669495404 | Margaret Lackey | Psychiatry & Neurology | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2006-07-25 |
| 1699311803 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-11-22 |
| 1649826215 | Valerie K Damron | Technician, Other | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2019-08-10 |
| 1083132559 | Lauren Fouch | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-09-06 |
| 1487170692 | Anastasia Soroka | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-08-18 |
| 1447780994 | Alison West | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-06-18 |
| 1801332655 | Rachael Saffa | Social Worker | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2017-01-17 |
| 1942744388 | Paula Prentice | Psychologist | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-12-04 |
| 1326581257 | Theresa Tomich | Student in an Organized Health Care Education/Training Program | 12055 W 2nd Pl, Lakewood, CO 80228-1506 | 2016-11-25 |
| 1376092080 | Jessica Way | Counselor | 12055 W 2nd Pl, Lakewood, CO 80228 | 2016-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174083570 | Lindsey Mae Beverly | Physician Assistant | Medical Plaza 2, 11700 W 2nd Pl, #350, Lakewood, CO 80228 | 2019-03-21 |
| 1881119931 | Cory J Frazier | Nurse Practitioner | 11600 W. 2nd Pl, Lakewood, CO 80228 | 2017-08-10 |
| 1508213885 | Chelsea Tucker | Counselor | 12157 W Cedar Dr Ste 207, Lakewood, CO 80228 | 2016-05-17 |
| 1972963841 | Shastin Gerbracht | Counselor | 12055 W 2nd Pl, Ste 200, Lakewood, CO 80228 | 2016-03-04 |
| 1073983375 | Suzanne Phillips | Behavioral Analyst | 200 Union Blvd. Ste. 200, Lakewood, Co. 80228, Denver, CO 80228 | 2015-09-29 |
| 1700265667 | April Mearsha | Doula | 12977 W Cedar Dr, 2-305, Lakewood, CO 80228 | 2015-05-26 |
| 1306233713 | Caleb Hedberg | Internal Medicine | 165 S Union Blvd Ste 800, Lakewood, CO 80228 | 2015-04-23 |
| 1972996288 | David Lindsey Currie | Counselor | 12055 W 2nd Place, Jefferson Ctr for Mental Health, Lakewood, CO 80228 | 2015-03-11 |
| 1619365533 | Michelle Broberg II | Technician | 12055 West 2nd Plaza, Lakewood, CO 80228 | 2014-12-30 |
| 1750789012 | Kayla Morrison | Social Worker | 12005 W 2nd Place, Lakewood, CO 80228 | 2014-12-18 |
| Find all providers in zip 80228 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457802068 | Andrea Barcelona Montoya | Registered Nurse | 20843 Gridley Rd, Lakewood, CA 90715-1106 | 2016-10-18 |
| 1922417997 | Colette Spencer | Registered Nurse | 8131 W Eastman Pl, Lakewood, CO 80227-6355 | 2014-08-04 |
| 1063772580 | Alicia M Bulin | Registered Nurse | 5768 Acacia Ln, Lakewood, CA 90712 | 2012-05-17 |
| 1326336678 | Anna C Ferman | Registered Nurse | 10035 W Dartmouth Ave C207, Lakewood, CO 80227 | 2011-07-20 |
| 1467062083 | Karin Michelle Waltz | Registered Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2020-08-07 |
| 1316503139 | Alexandria Selenke | Registered Nurse | 12567 W Cedar Dr Ste 100, Lakewood, CO 80228-2041 | 2019-05-16 |
| 1922662055 | Tchido Yao | Registered Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2019-04-24 |
| 1235646969 | Laura Hammer-schoville | Registered Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2018-01-03 |
| 1164937025 | April Lynn Stevenson | Registered Nurse | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2017-12-13 |
| 1063942829 | Christopher Lawrance Frank Mitchell | Registered Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2017-06-14 |
| Find all providers in LAKEWOOD | ||||
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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.