INTRANERVE (NPI# 1992102503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992102503 |
| Entity Type | Organization |
| Organization Name | INTRANERVE |
| Practice Address |
13 S Tejon St Ste 501 Colorado Springs CO 80903-1530 |
| Mailing Address |
9925 Hard Key Cir Indianapolis IN 46236-7359 |
| Practice Telephone | 8662268576 |
| Mailing Telephone | 3179181941 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | HALEY MACKENZIE HILL (NEURODIAGNOSTIC TECHNOLOGIST) |
| Authorized Official Telephone | 3179181941 |
| Authorized Official Credential | R. EEG/EP T., CN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
2434 | IN | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427422476 | Intranerve | Specialist/Technologist, Other | W253s7660 Forestview Ln, Waukesha, WI 53189-8306 | 2015-11-13 |
| 1225442619 | Intranerve | Specialist/Technologist, Other | 115 West Sunset Avenue, Snow Shoe, PA 16874 | 2014-06-13 |
| 1558787903 | Intranerve | Specialist/Technologist, Other | 13 S Tejon St, Ste. 501, Colorado Springs, CO 80903-1513 | 2014-03-10 |
| 1760805758 | Intranerve | General Acute Care Hospital | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2014-01-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | INTRANERVE NEUROSCIENCE HOLDINGS, LLC | 24 S. Weber St, Suite 200, Colorado Springs, CO 80903 |
| Colorado Business Entities | IntraNerve, LLC | 13 S. Tejon St., Suite 501, Colorado Springs, CO 80903 |
| Oregon Corporations, Companies and Business Names | INTRANERVE, LLC | 13 S Tejon St Suite 501, Colorado Springs, CO 80903 |
| Iowa Business Entities | INTRANERVE, LLC | 13 South Tejon Street, Suite 501, Colorado Springs, CO 80903 |
| Indiana Business Entities | INTRANERVE, LLC | 13 S. Tejon St., Suite 501, Colorado Springs, CO 80903 |
| Street Address |
13 S TEJON ST STE 501 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336234517 | Cory T Evans | Chiropractor | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2006-10-04 |
| 1053828319 | Mil'tonique Williams | Specialist/Technologist, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2018-01-08 |
| 1598277345 | Vaden James Fite | Specialist/Technologist, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2017-11-02 |
| 1679096911 | Laura Eisenbrei | Specialist/Technologist, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2017-07-19 |
| 1033649710 | Riley Ravn Lujan | Specialist/Technologist, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2017-06-15 |
| 1801320445 | Stephanie Marie Stewart | Specialist/Technologist, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2017-04-19 |
| 1063868867 | Alisa Miles | Specialist/Technologist, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2016-05-11 |
| 1508232802 | Prn Neuromonitoring Nj PC | Technician, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2015-08-20 |
| 1063893527 | John Phillip Stewart | Specialist/Technologist, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2015-06-10 |
| 1184018020 | Prn Pro, PC | Technician, Other | 13 S Tejon St Ste 501, Colorado Springs, CO 80903-1530 | 2015-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871000588 | Peak Neuro Monitoring LLC | Specialist/Technologist, Other | 4164 Austin Bluffs Pkwy Unit 603, Colorado Springs, CO 80918-2928 | 2018-01-03 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1780044289 | Kevin Gillette | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903 | 2016-02-26 |
| 1588030720 | Kimberly Jaynes | Specialist/Technologist, Other | 13 S Tejon St Fl 5, Colorado Springs, CO 80903-1513 | 2015-08-11 |
| 1720420482 | Justin J Becco | Specialist/Technologist, Other | 807 Point of The Pines Dr, Colorado Springs, CO 80919-8141 | 2013-07-23 |
| 1215376256 | Carlo Singson | Specialist/Technologist, Other | 13 South Tejon St, 501, Colorado Springs, CO 80903 | 2013-06-24 |
| 1659616431 | Andrew Benjamin Harris | Specialist/Technologist, Other | 815 Custer Ave, Colorado Springs, CO 80903-2725 | 2012-12-04 |
| 1912513128 | Destiny Elmore | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903-1928 | 2020-09-22 |
| 1528679511 | Kristina Henson | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903-1928 | 2020-08-12 |
| 1922620764 | John Parkanzky | Specialist/Technologist, Other | 24 S Weber St Ste 200, Colorado Springs, CO 80903-1928 | 2020-05-14 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
Please comment or provide details below to improve the information on INTRANERVE.
| 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.