Denver Wellness Associates | |
300 S Jackson St Ste 240 Denver CO 80209-3131 | |
(720) 724-3668 | |
(303) 265-9839 |
Full Name | Denver Wellness Associates |
---|---|
Speciality | Psychiatry & Neurology |
Location | 300 S Jackson St Ste 240, Denver, Colorado |
Authorized Official Name and Position | Jeanne Thoebald (OWNER) |
Authorized Official Contact | 7207243668 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Denver Wellness Associates 300 S Jackson St Ste 240 Denver CO 80209-3131 Ph: (720) 724-3668 | Denver Wellness Associates 300 S Jackson St Ste 240 Denver CO 80209-3131 Ph: (720) 724-3668 |
NPI Number | 1144707878 |
---|---|
Provider Enumeration Date | 07/25/2018 |
Last Update Date | 12/08/2020 |
Certification Date | 12/08/2020 |
Medicare PECOS PAC ID | 3274949730 |
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Medicare Enrollment ID | O20210308001215 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144707878 | NPI | - | NPPES |
1972822609 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 52028 (Colorado) | Primary |
261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
Provider Name | Anita Kumar |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1629295894 PECOS PAC ID: 2163548579 Enrollment ID: I20100922001243 |
Provider Name | Annmarie E Kropp |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568901668 PECOS PAC ID: 7618245408 Enrollment ID: I20170620002145 |
Provider Name | Michelle M Denault |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1306289525 PECOS PAC ID: 2466742440 Enrollment ID: I20181114003430 |
Provider Name | Nathanael Lacaria |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720642846 PECOS PAC ID: 7911329016 Enrollment ID: I20200618001069 |
Provider Name | Jeanne Theobald |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1972822609 PECOS PAC ID: 5294040028 Enrollment ID: I20210308001266 |
Provider Name | Patricia Luevano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396389540 PECOS PAC ID: 2860825528 Enrollment ID: I20210308001634 |
Provider Name | Judith Lynn Kwedar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386100774 PECOS PAC ID: 1850707324 Enrollment ID: I20210308001784 |
Provider Name | Paige Idziur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528615937 PECOS PAC ID: 7517373095 Enrollment ID: I20210308002009 |
Provider Name | Solana Marie Cooper |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356974968 PECOS PAC ID: 0244633071 Enrollment ID: I20210730000981 |
Provider Name | Laurel Kristine Tronsen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992343669 PECOS PAC ID: 4284055971 Enrollment ID: I20210818000983 |
Provider Name | Annah Ruth Kennett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770258717 PECOS PAC ID: 8527464338 Enrollment ID: I20210902001028 |
Provider Name | Rachel Marie Hiatt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740942606 PECOS PAC ID: 9537557749 Enrollment ID: I20211020002175 |
Provider Name | Lauren Wheeland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528735990 PECOS PAC ID: 3779975602 Enrollment ID: I20220126001257 |
Provider Name | Emily Sisa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275102873 PECOS PAC ID: 3971973116 Enrollment ID: I20230103002708 |
Provider Name | Katherine Mary Goggins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972209161 PECOS PAC ID: 7012380132 Enrollment ID: I20230310000173 |
Provider Name | Sharla Gallegos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255039574 PECOS PAC ID: 2062873532 Enrollment ID: I20230731002883 |
Provider Name | Kiersten Mccabe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619651825 PECOS PAC ID: 7113388299 Enrollment ID: I20230804003675 |
Provider Name | Andrea G Wynn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962265454 PECOS PAC ID: 7416394424 Enrollment ID: I20240326004072 |
Provider Name | Jessica Settle Hart |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1346014560 PECOS PAC ID: 5193166155 Enrollment ID: I20240508003944 |
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