| Family Walk In Clinic | |
|
2928 W 10th St Greeley CO 80634 | |
| (970) 584-2100 | |
| (970) 584-2101 |
| Full Name | Family Walk In Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 2928 W 10th St, Greeley, Colorado |
| Authorized Official Name and Position | Jeremy R Grover (OWNER) |
| Authorized Official Contact | 9705842100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Walk In Clinic 2928 W 10th St Greeley CO 80634-5426 Ph: (970) 584-2100 | Family Walk In Clinic 2928 W 10th St Greeley CO 80634 Ph: (970) 584-2100 |
| NPI Number | 1881101640 |
|---|---|
| Provider Enumeration Date | 01/02/2018 |
| Last Update Date | 03/14/2019 |
| Medicare PECOS PAC ID | 3577824838 |
|---|---|
| Medicare Enrollment ID | O20180301000081 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881101640 | NPI | - | NPPES |
| 1881101640 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
| Provider Name | Christopher J Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023217866 PECOS PAC ID: 7012005549 Enrollment ID: I20140407000521 |
| Provider Name | Alison Lesley Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841735768 PECOS PAC ID: 4789968116 Enrollment ID: I20170303000890 |
| Provider Name | Elizabeth Clowers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134663552 PECOS PAC ID: 7618233875 Enrollment ID: I20171106000418 |
| Provider Name | Sheree N Montoya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871079384 PECOS PAC ID: 3971855032 Enrollment ID: I20181018000131 |
| Provider Name | Lisa M Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942807169 PECOS PAC ID: 6204247752 Enrollment ID: I20201204001335 |
| Provider Name | Devon S Glynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013503572 PECOS PAC ID: 2769895465 Enrollment ID: I20210119000133 |
| Provider Name | Melissa Lynn Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619500667 PECOS PAC ID: 3274949029 Enrollment ID: I20210303000973 |
| Provider Name | Lauren Audrey Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740807841 PECOS PAC ID: 0547664641 Enrollment ID: I20210811004073 |
| Provider Name | Erika Ivonne Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861158347 PECOS PAC ID: 0941690903 Enrollment ID: I20211206001821 |
| Provider Name | Tory A Nosal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952053035 PECOS PAC ID: 7113312570 Enrollment ID: I20220322000448 |
| Provider Name | Katrina Raenae Staley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891474151 PECOS PAC ID: 3072975432 Enrollment ID: I20230816003219 |
| Provider Name | Damoine Shaunte Ricks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235852344 PECOS PAC ID: 9436691532 Enrollment ID: I20240604003619 |
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