KELLY ANNE FAUSEY (NPI# 1982958203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982958203 |
| Entity Type | Individual |
| Full Name | KELLY ANNE FAUSEY |
| Credential | PNP |
| Practice Address |
183 S 18th Ave Brighton CO 80601-2472 |
| Practice Telephone | (303) 659-4248 |
| Practice Fax Number | 3036594283 |
| Mailing Telephone | (303) 659-4248 |
| Mailing Fax Number | 3036594283 |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2017-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0000306 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
183 S 18TH AVE |
| City | BRIGHTON |
| State | CO |
| Zip Code | 80601-2472 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417921396 | Marian Amaranto | Nurse Practitioner | 183 S 18th Ave, Brighton, CO 80601-2472 | 2006-02-15 |
| 1629580022 | Mackenzie Julienne Reshew | Registered Nurse | 183 S 18th Ave, Brighton, CO 80601-2472 | 2017-10-26 |
| 1477086577 | Abby Hughes | Pediatrics | 183 S 18th Ave, Brighton, CO 80601-2472 | 2017-04-05 |
| 1720510332 | Rachael Janoso | Pediatrics | 183 S 18th Ave, Brighton, CO 80601-2472 | 2017-04-02 |
| 1831362789 | Dawn M Dycus | Pediatrics | 183 S 18th Ave, Brighton, CO 80601-2472 | 2008-04-10 |
| 1407069453 | Brighton Pediatrics, P.C. | Pediatrics | 183 S 18th Ave, Brighton, CO 80601-2472 | 2007-05-07 |
| 1396816856 | Stephen Francis Cardos | Pediatrics | 183 S 18th Ave, Brighton, CO 80601-2472 | 2006-11-13 |
| 1215008784 | Richard William Martin | Pediatrics | 183 S 18th Ave, Brighton, CO 80601-2472 | 2006-11-13 |
| 1619048188 | Branka Milosavljevic | Pediatrics | 183 S 18th Ave, Brighton, CO 80601-2472 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326541228 | Dentists of Brighton, LLP | Dentist | 5127 E Bridge Street, Brighton, CO 80601 | 2018-03-16 |
| 1972038313 | Girls Only Ministry | Community Based Residential Treatment Facility, Mental Illness | 655 North 16th Way, Brighton, CO 80601 | 2017-04-24 |
| 1174074223 | Milltown Dialysis LLC | Clinic/Center | 1321 S 4th Ave Ste 100, Brighton, CO 80601 | 2016-10-24 |
| 1427418953 | Alexis Martinez | Dental Hygienist | 1860 Egbert Street, Brighton, CO 80601 | 2016-02-25 |
| 1427413160 | Haile Ogbalidet | Pharmacist | 1605 E. Bridge St, Brighton, CO 80601 | 2015-12-23 |
| 1841686128 | Jamie Nichole Campbell | Pediatrics | 1606 Prairie Center Parkway Premier Pediatrics, Suite 300, Brighton, CO 80601 | 2015-04-13 |
| 1568881795 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 100 N 50th Ave, Brighton, CO 80601 | 2014-04-15 |
| 1841616554 | Rebecca Sholeh Philman | Registered Nurse | 423 Mt Elbert St, Brighton, CO 80601 | 2014-03-06 |
| 1770928756 | Capital Success, LLC | Clinic/Center | 203 Telluride St Unit 750, Brighton, CO 80601 | 2013-05-06 |
| 1992045884 | Kristin Michelle Uchida | Massage Therapist | 27 S 4th Ave, Brighton, CO 80601 | 2013-03-01 |
| Find all providers in zip 80601 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821318676 | Judith Jo Collica | Nurse Practitioner | 1021 Karl Greimel Dr Ste 100, Brighton, MI 48116-9465 | 2010-06-03 |
| 1841341559 | Tatum Sinclair | Nurse Practitioner | 77 Warren St Bldg 4, Brighton, MA 02135-3601 | 2007-01-16 |
| 1417921396 | Marian Amaranto | Nurse Practitioner | 183 S 18th Ave, Brighton, CO 80601-2472 | 2006-02-15 |
| 1649809765 | Aimee Carew- Lyons | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2020-04-02 |
| 1730726126 | Alyssa Sue Fraser | Nurse Practitioner | 2305 Genoa Business Park Dr Ste 240, Brighton, MI 48114-7005 | 2019-12-04 |
| 1356903991 | Mary Laurette Hughes | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2019-07-03 |
| 1063990950 | Lisa Ngu | Nurse Practitioner | 495 Western Ave, Brighton, MA 02135-1007 | 2018-08-01 |
| 1467828343 | Bipin Desai Md | Nurse Practitioner | 136 Kissane Ave, Brighton, MI 48116-2467 | 2015-08-14 |
| 1245653005 | Stephanie Louise Hopkins | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2014-01-30 |
| 1811322373 | Marissa Ann Udelsman | Nurse Practitioner | 30 Warren St, Brighton, MA 02135-3602 | 2013-09-03 |
| Find all providers in BRIGHTON | ||||
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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.