| Aleracare Of Colorado, Llc | |
|
2910 Beacon St Ste 200 Colorado Springs CO 80907-7900 | |
| (888) 238-9523 | |
| (888) 551-5096 |
| Full Name | Aleracare Of Colorado, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2910 Beacon St Ste 200, Colorado Springs, Colorado |
| Authorized Official Name and Position | Marianne Labarbera (PRESIDENT) |
| Authorized Official Contact | 8882389523 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aleracare Of Colorado, Llc 4045 E Bell Rd Ste 157 Phoenix AZ 85032-2240 Ph: (888) 238-9523 | Aleracare Of Colorado, Llc 2910 Beacon St Ste 200 Colorado Springs CO 80907-7900 Ph: (888) 238-9523 |
| NPI Number | 1033713805 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 11/29/2022 |
| Medicare PECOS PAC ID | 3072926161 |
|---|---|
| Medicare Enrollment ID | O20210111000487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033713805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Nathanael S Brady |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1497954358 PECOS PAC ID: 9133251036 Enrollment ID: I20100712000643 |
| Provider Name | Tera N Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821457284 PECOS PAC ID: 8022304740 Enrollment ID: I20171012003224 |
| Provider Name | Breanna Rae Juda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780127704 PECOS PAC ID: 7416231964 Enrollment ID: I20180402002187 |
| Provider Name | Marianne C Labarbera |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558439281 PECOS PAC ID: 7416037825 Enrollment ID: I20210111000682 |
| Provider Name | Kristin Angus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538775606 PECOS PAC ID: 1850794983 Enrollment ID: I20210727000652 |
| Provider Name | Sharon Marie Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437368925 PECOS PAC ID: 8022412378 Enrollment ID: I20210809001245 |
| Provider Name | Conrad Lizarraga Cordova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215382460 PECOS PAC ID: 0840580650 Enrollment ID: I20210827000250 |
| Provider Name | Somaly Sith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033618293 PECOS PAC ID: 5799103529 Enrollment ID: I20211007000743 |
| Provider Name | Kolby N Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043974165 PECOS PAC ID: 4183016678 Enrollment ID: I20220112002331 |
| Provider Name | Lindsay Renee Huffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134892383 PECOS PAC ID: 9739573320 Enrollment ID: I20220224001239 |
| Provider Name | Jessica Lynn Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073206934 PECOS PAC ID: 5698122653 Enrollment ID: I20231113002225 |
| Provider Name | Ryan Dobbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962286880 PECOS PAC ID: 5799132668 Enrollment ID: I20231114003661 |
| Provider Name | Erica Jeanette Fedewa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851939755 PECOS PAC ID: 3072962703 Enrollment ID: I20231206004390 |
| Provider Name | Natalie Waller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942915137 PECOS PAC ID: 6507228160 Enrollment ID: I20231225000060 |
| Provider Name | Jennifer Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730762345 PECOS PAC ID: 9133520273 Enrollment ID: I20231227000897 |
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