Stride Chc - Del Mar | |
10680 Del Mar Parkway Aurora CO 80010-4011 | |
(303) 360-6276 | |
(303) 789-7222 |
Full Name | Stride Chc - Del Mar |
---|---|
Speciality | Clinic/Center |
Location | 10680 Del Mar Parkway, Aurora, Colorado |
Authorized Official Name and Position | April Peer (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 3037611977 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Stride Chc - Del Mar 7495 W 29th Ave Wheat Ridge CO 80033-8002 Ph: (303) 761-1977 | Stride Chc - Del Mar 10680 Del Mar Parkway Aurora CO 80010-4011 Ph: (303) 360-6276 |
NPI Number | 1558727883 |
---|---|
Provider Enumeration Date | 12/31/2015 |
Last Update Date | 03/04/2024 |
Medicare PECOS PAC ID | 0648181214 |
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Medicare Enrollment ID | O20051025000562 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558727883 | NPI | - | NPPES |
49105060 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Colorado) | Primary |
Provider Name | David A Iverson |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1134382518 PECOS PAC ID: 3274509104 Enrollment ID: I20040902000607 |
Provider Name | Tracy Hofeditz |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194722561 PECOS PAC ID: 7315832409 Enrollment ID: I20050926001207 |
Provider Name | Tanya D Lurie |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306935358 PECOS PAC ID: 5294741336 Enrollment ID: I20060228000262 |
Provider Name | Patricia J Lose |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1255495917 PECOS PAC ID: 4082690391 Enrollment ID: I20070925000180 |
Provider Name | Grady M Holder |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1366543902 PECOS PAC ID: 7113063520 Enrollment ID: I20100120000031 |
Provider Name | Brenda Lee Larson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588636120 PECOS PAC ID: 6002958667 Enrollment ID: I20100120000077 |
Provider Name | Erica Murdock |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1790094464 PECOS PAC ID: 0244428514 Enrollment ID: I20101230000868 |
Provider Name | Helen M Story |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811996838 PECOS PAC ID: 4183728736 Enrollment ID: I20110104001254 |
Provider Name | Tamaan K Osbourne Roberts |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245424076 PECOS PAC ID: 7214114032 Enrollment ID: I20110603000407 |
Provider Name | Thomas J Staff |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801833785 PECOS PAC ID: 9335036896 Enrollment ID: I20121023000713 |
Provider Name | Letitia Ann Drexelius |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902246234 PECOS PAC ID: 6507080116 Enrollment ID: I20140620000678 |
Provider Name | Karin Sigdestad Rohleder |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1205944212 PECOS PAC ID: 6406078575 Enrollment ID: I20141105002703 |
Provider Name | Vi Ann Garcia |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609260587 PECOS PAC ID: 8527386077 Enrollment ID: I20150413000794 |
Provider Name | Hilary R Murphy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407285679 PECOS PAC ID: 4385962794 Enrollment ID: I20150415001708 |
Provider Name | Annette F Kenney |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861507840 PECOS PAC ID: 7416261763 Enrollment ID: I20150731014465 |
Provider Name | Katherine Elizabeth Slone |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013393040 PECOS PAC ID: 1850687914 Enrollment ID: I20160915002206 |
Provider Name | Eman A Dahan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518409994 PECOS PAC ID: 1254612161 Enrollment ID: I20170109002318 |
Provider Name | Christine Boughner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851834915 PECOS PAC ID: 3577840610 Enrollment ID: I20170427001808 |
Provider Name | Joanne Accardi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760903207 PECOS PAC ID: 2264799972 Enrollment ID: I20171206000548 |
Provider Name | Yvonne Delzenero |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1831531714 PECOS PAC ID: 8527313709 Enrollment ID: I20180611002405 |
Provider Name | Jennifer Rebecca Matera |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1831672922 PECOS PAC ID: 7214275189 Enrollment ID: I20190219002068 |
Provider Name | Emily R Berger |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801328232 PECOS PAC ID: 7113297334 Enrollment ID: I20200310000560 |
Provider Name | Kristen Otto |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285098418 PECOS PAC ID: 9537447370 Enrollment ID: I20201111000764 |
Provider Name | Jennifer Dawn Orloff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790350254 PECOS PAC ID: 3375942733 Enrollment ID: I20210604001672 |
Provider Name | Bridgit V Wedgle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609402817 PECOS PAC ID: 7012315633 Enrollment ID: I20211013000795 |
Provider Name | Kaci M Hauck |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104453786 PECOS PAC ID: 3971996182 Enrollment ID: I20220211000521 |
Provider Name | Caitlin Jenae Endly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295491983 PECOS PAC ID: 5496141426 Enrollment ID: I20220331000295 |
Provider Name | Matthew Daniel Werner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285159509 PECOS PAC ID: 5294121224 Enrollment ID: I20220331000368 |
Provider Name | Rachel Elisabeth Bott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780245035 PECOS PAC ID: 8729416821 Enrollment ID: I20221229000578 |
Provider Name | Laura Page Coon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811418049 PECOS PAC ID: 1456616572 Enrollment ID: I20221230000948 |
Provider Name | Priya Chandrasekaran |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1982853917 PECOS PAC ID: 4284995986 Enrollment ID: I20221230001385 |
Provider Name | Jennifer J Burch |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780130344 PECOS PAC ID: 8820334154 Enrollment ID: I20230105000078 |
Provider Name | Bethany Feret |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891336871 PECOS PAC ID: 6901291889 Enrollment ID: I20230105000781 |
Provider Name | Kristen Melanie Evans |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255704722 PECOS PAC ID: 7214307347 Enrollment ID: I20230105001127 |
Provider Name | Sandra Duwaik Cherabie |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1528446911 PECOS PAC ID: 1951678192 Enrollment ID: I20230105002543 |
Provider Name | Kimberly Marie Dufraux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770723058 PECOS PAC ID: 4981825940 Enrollment ID: I20230105002561 |
Provider Name | Karen Ruby Brown |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1821049388 PECOS PAC ID: 6204721988 Enrollment ID: I20230106002444 |
Provider Name | Rebecca Rae Heck |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1255598454 PECOS PAC ID: 4082977160 Enrollment ID: I20230109002273 |
Provider Name | Michael Anthony Gomez |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1144836974 PECOS PAC ID: 0840660841 Enrollment ID: I20230109002554 |
Provider Name | Mollie F Haddigan Mulberry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629029459 PECOS PAC ID: 5991753295 Enrollment ID: I20230110000368 |
Provider Name | Brandy Marie Hartman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114406766 PECOS PAC ID: 2062838006 Enrollment ID: I20230111000056 |
Provider Name | Emily S Schrader |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1356704506 PECOS PAC ID: 3779878731 Enrollment ID: I20230112002649 |
Provider Name | Robin Kim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1336608306 PECOS PAC ID: 2163752965 Enrollment ID: I20230113001066 |
Provider Name | Guadalupe Toledo |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1053463224 PECOS PAC ID: 8729113659 Enrollment ID: I20230113001227 |
Provider Name | Alejandrina Vidales |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831453976 PECOS PAC ID: 7113235458 Enrollment ID: I20230114000180 |
Provider Name | Tyler Wayne Jones |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1902300353 PECOS PAC ID: 1355698895 Enrollment ID: I20230116000669 |
Provider Name | Kim A Kramer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629125133 PECOS PAC ID: 6406072909 Enrollment ID: I20230117001291 |
Provider Name | Sylvia Michelle Jones |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427535392 PECOS PAC ID: 0446500094 Enrollment ID: I20230118000335 |
Provider Name | Chan Mi Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720539034 PECOS PAC ID: 5294086765 Enrollment ID: I20230118000866 |
Provider Name | Colleen Waggoner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750050514 PECOS PAC ID: 7618348202 Enrollment ID: I20230118001217 |
Provider Name | Elizabeth Fitzgerald Kane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689812612 PECOS PAC ID: 9335402833 Enrollment ID: I20230118001235 |
Provider Name | Dana A Sepulveda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174272884 PECOS PAC ID: 0941671531 Enrollment ID: I20230118001439 |
Provider Name | Jessica Marie Knurek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790232650 PECOS PAC ID: 3870846090 Enrollment ID: I20230118001464 |
Provider Name | Jayme Ann Konde |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255987350 PECOS PAC ID: 7911378526 Enrollment ID: I20230118002047 |
Provider Name | Dellena Racquel Aguilar |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1275781494 PECOS PAC ID: 0446621064 Enrollment ID: I20230118002589 |
Provider Name | Kate Elizabeth Gates |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972846517 PECOS PAC ID: 6709000250 Enrollment ID: I20230118002982 |
Provider Name | Maryann Alberti Shiltz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629312905 PECOS PAC ID: 6002178852 Enrollment ID: I20230119000110 |
Provider Name | Breeanna Horton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629450291 PECOS PAC ID: 4082085634 Enrollment ID: I20230119000713 |
Provider Name | Chantal Dengah |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1184274011 PECOS PAC ID: 3274904834 Enrollment ID: I20230119001121 |
Provider Name | Lisa Van Tine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508973074 PECOS PAC ID: 2264759422 Enrollment ID: I20230119001417 |
Provider Name | Katherine Susanne Snyder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356997456 PECOS PAC ID: 2567894231 Enrollment ID: I20230119001595 |
Provider Name | Paul Kim |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1114505138 PECOS PAC ID: 6800262486 Enrollment ID: I20230119003394 |
Provider Name | Jennifer Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255843504 PECOS PAC ID: 5496015935 Enrollment ID: I20230123001643 |
Provider Name | Cristina Kuta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508377086 PECOS PAC ID: 9335499755 Enrollment ID: I20230123002046 |
Provider Name | Shaunette Lin Meyer |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1154623619 PECOS PAC ID: 6406118405 Enrollment ID: I20230124002124 |
Provider Name | Catherine Marie Brannan |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1841483591 PECOS PAC ID: 2769878701 Enrollment ID: I20230124002521 |
Provider Name | Gina Reyes |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1144643040 PECOS PAC ID: 9032451695 Enrollment ID: I20230124003610 |
Provider Name | Keith Rockwood |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1861072142 PECOS PAC ID: 2163893462 Enrollment ID: I20230125000176 |
Provider Name | Aleis Pugia |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801414339 PECOS PAC ID: 8325419625 Enrollment ID: I20230125000233 |
Provider Name | Jasmine Mccorkle Shytle |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023589454 PECOS PAC ID: 2365862695 Enrollment ID: I20230125001414 |
Provider Name | Olivia Maria Perez -amick |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1649795840 PECOS PAC ID: 5890125777 Enrollment ID: I20230125001780 |
Provider Name | Theodore R Shille |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1962797829 PECOS PAC ID: 5698087013 Enrollment ID: I20230125002208 |
Provider Name | David Lloyd Avram |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1205582277 PECOS PAC ID: 5395116545 Enrollment ID: I20230125003260 |
Provider Name | Heather Allyson Scott |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1942752795 PECOS PAC ID: 9830522010 Enrollment ID: I20230126001335 |
Provider Name | Joshua C Way |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1477132801 PECOS PAC ID: 1759752967 Enrollment ID: I20230126002088 |
Provider Name | Sung W Cho |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1144469784 PECOS PAC ID: 5193037448 Enrollment ID: I20230127001652 |
Provider Name | Chelsea L Kissinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356693188 PECOS PAC ID: 5092967661 Enrollment ID: I20230130000532 |
Provider Name | Lucia Ridlen-gonzalez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831145234 PECOS PAC ID: 7911070990 Enrollment ID: I20230202001756 |
Provider Name | Heather Elizabeth Kelly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689956005 PECOS PAC ID: 9537307533 Enrollment ID: I20230204000258 |
Provider Name | Elizabeth E Sabella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043300940 PECOS PAC ID: 9335243120 Enrollment ID: I20230211000372 |
Provider Name | Aza Fahed |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1992813133 PECOS PAC ID: 5799922373 Enrollment ID: I20230213001936 |
Provider Name | Maha S Sidhom |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1679959639 PECOS PAC ID: 5092007070 Enrollment ID: I20230214001755 |
Provider Name | Alan Ray Reed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356885743 PECOS PAC ID: 2668748161 Enrollment ID: I20230215002089 |
Provider Name | Autumn Elizabeth Hundermark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285112193 PECOS PAC ID: 7618300476 Enrollment ID: I20230303001286 |
Provider Name | Fatima Kazi |
---|---|
Provider Type | Practitioner - Dentist |
Provider Identifiers | NPI Number: 1760489660 PECOS PAC ID: 5092026484 Enrollment ID: I20230303001485 |
Provider Name | Baaba K Blankson |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1518494616 PECOS PAC ID: 0749534394 Enrollment ID: I20230321001914 |
Provider Name | Liza Gail Brecher |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1477111300 PECOS PAC ID: 6901216266 Enrollment ID: I20230824002261 |
Provider Name | Kaitlin M Vieweg Parker |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1952876021 PECOS PAC ID: 4385098656 Enrollment ID: I20230921000438 |
Provider Name | Suzy Ann Lim |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275863680 PECOS PAC ID: 6608013529 Enrollment ID: I20231130004028 |
Provider Name | Joel Scott Bonzo |
---|---|
Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1467072249 PECOS PAC ID: 9133545411 Enrollment ID: I20231213001274 |
Provider Name | Bradley Kent Pittman |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1740357524 PECOS PAC ID: 1153316187 Enrollment ID: I20240312001857 |
Provider Name | Leonard Trujillo |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1912041591 PECOS PAC ID: 2860847316 Enrollment ID: I20240312002808 |
Provider Name | Jennifer Britt |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1902004492 PECOS PAC ID: 2062874480 Enrollment ID: I20240321000555 |
Provider Name | Sheila Maureen Stanley |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1801547815 PECOS PAC ID: 8022457035 Enrollment ID: I20240423002447 |
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