Mile High Psychiatry Llc | |
14221 E 4th Ave Ste 2-126 Aurora CO 80011-8717 | |
(720) 507-4779 | |
(720) 367-5067 |
Full Name | Mile High Psychiatry Llc |
---|---|
Speciality | Nurse Practitioner |
Location | 14221 E 4th Ave Ste 2-126, Aurora, Colorado |
Authorized Official Name and Position | Michael K Chism (OWNER/NP) |
Authorized Official Contact | 7205074779 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mile High Psychiatry Llc 15355 E Colfax Ave Unit 111717 Aurora CO 80042-1975 Ph: () - | Mile High Psychiatry Llc 14221 E 4th Ave Ste 2-126 Aurora CO 80011-8717 Ph: (720) 507-4779 |
NPI Number | 1760928766 |
---|---|
Provider Enumeration Date | 01/13/2017 |
Last Update Date | 05/17/2023 |
Certification Date | 04/03/2023 |
Medicare PECOS PAC ID | 9032459656 |
---|---|
Medicare Enrollment ID | O20190319000566 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760928766 | NPI | - | NPPES |
Provider Name | Fredi S Prochoda |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023331477 PECOS PAC ID: 9830229913 Enrollment ID: I20100616000599 |
Provider Name | Kristen M Wille |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891228409 PECOS PAC ID: 3072885672 Enrollment ID: I20170816003532 |
Provider Name | Lauren Faye Petasne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396261525 PECOS PAC ID: 8123387974 Enrollment ID: I20181025002714 |
Provider Name | Michael Chism |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154780757 PECOS PAC ID: 0941540561 Enrollment ID: I20190403001734 |
Provider Name | Cynthia Tsou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154894012 PECOS PAC ID: 7315277688 Enrollment ID: I20190930001941 |
Provider Name | Precious Branae Barnes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952859506 PECOS PAC ID: 4284913997 Enrollment ID: I20200603000320 |
Provider Name | Sonata Poon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477010890 PECOS PAC ID: 8224371042 Enrollment ID: I20200604001207 |
Provider Name | Derenda Beasley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386120343 PECOS PAC ID: 3072934512 Enrollment ID: I20200609000857 |
Provider Name | Shawn Rene Howard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477950350 PECOS PAC ID: 3476825290 Enrollment ID: I20200609003286 |
Provider Name | Deimys Daily Vigil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144846700 PECOS PAC ID: 6204259468 Enrollment ID: I20200706002911 |
Provider Name | Kelly Cubley Kilcrease |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912359050 PECOS PAC ID: 7416241245 Enrollment ID: I20200713003696 |
Provider Name | Valerie Frances Baunoch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629535117 PECOS PAC ID: 2264775444 Enrollment ID: I20201021001124 |
Provider Name | Chelsey Brianna Mcfaddin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528678372 PECOS PAC ID: 5395165724 Enrollment ID: I20201023000349 |
Provider Name | Nichollette Victoria Dykes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891305595 PECOS PAC ID: 7911318886 Enrollment ID: I20201125000082 |
Provider Name | Theodora Ngozi Agbasi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1538593173 PECOS PAC ID: 3678746237 Enrollment ID: I20201223002666 |
Provider Name | Theresa Gilliland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083785513 PECOS PAC ID: 6608817838 Enrollment ID: I20201229002586 |
Provider Name | Dieunette Joseph-omwanghe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912593385 PECOS PAC ID: 4183039555 Enrollment ID: I20210216003376 |
Provider Name | Deimys Daily Vigil |
---|---|
Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1144846700 PECOS PAC ID: 6204259468 Enrollment ID: I20210218000565 |
Provider Name | Daphne M Daniels |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649403817 PECOS PAC ID: 8123158219 Enrollment ID: I20210310000581 |
Provider Name | Julie B Cruse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891196135 PECOS PAC ID: 1557684123 Enrollment ID: I20210311000238 |
Provider Name | Jabari Jela Dobson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477168292 PECOS PAC ID: 8628489325 Enrollment ID: I20210316000508 |
Provider Name | Nicole Amy Watson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619569456 PECOS PAC ID: 9133535230 Enrollment ID: I20210316001567 |
Provider Name | Chidinma Enwere |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659794535 PECOS PAC ID: 8921238320 Enrollment ID: I20210323000649 |
Provider Name | Stephanie Jean Bakosh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093156408 PECOS PAC ID: 2466689286 Enrollment ID: I20210324002694 |
Provider Name | Valarie Michelle Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902321524 PECOS PAC ID: 0446514459 Enrollment ID: I20210331002828 |
Provider Name | Letitia Osei Sam |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346833852 PECOS PAC ID: 1254749294 Enrollment ID: I20210413000460 |
Provider Name | Stephanie G Bankston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760864185 PECOS PAC ID: 7416246947 Enrollment ID: I20210421000549 |
Provider Name | Helene Brenda Vossos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093028649 PECOS PAC ID: 3779779269 Enrollment ID: I20210426000474 |
Provider Name | Somaya Bhimaya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558890749 PECOS PAC ID: 4082954250 Enrollment ID: I20210426002238 |
Provider Name | Shanin Rae Vowell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306434857 PECOS PAC ID: 0042628398 Enrollment ID: I20210426002495 |
Provider Name | Kerry Anne Chapley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700215191 PECOS PAC ID: 2961631569 Enrollment ID: I20210427000744 |
Provider Name | Rosemary Uloma Okoroafor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760031165 PECOS PAC ID: 9739591819 Enrollment ID: I20210503002671 |
Provider Name | Erin Ann Lutchkus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669046363 PECOS PAC ID: 7719387281 Enrollment ID: I20210621002820 |
Provider Name | Rebecca J Fowlkes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427290071 PECOS PAC ID: 4688707243 Enrollment ID: I20210628001419 |
Provider Name | Makaila Chayanne Adams |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992134977 PECOS PAC ID: 7719380682 Enrollment ID: I20210729002439 |
Provider Name | Colene E Marshall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417900507 PECOS PAC ID: 3678598257 Enrollment ID: I20210803000024 |
Provider Name | Nicole Maria Andreassi |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1194211532 PECOS PAC ID: 3971908427 Enrollment ID: I20210820001168 |
Provider Name | Abiola Omo Oyemade |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417454992 PECOS PAC ID: 6507102910 Enrollment ID: I20210907000963 |
Provider Name | Cicely Baugh Hooten |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073003018 PECOS PAC ID: 3971834573 Enrollment ID: I20220104001383 |
Provider Name | Julie Annabel Martinez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255758389 PECOS PAC ID: 3173743630 Enrollment ID: I20220110001161 |
Provider Name | Tabatha June Truelove |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164074472 PECOS PAC ID: 3678966447 Enrollment ID: I20220201000078 |
Provider Name | Carine Laure Djuidje |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063034320 PECOS PAC ID: 8325463805 Enrollment ID: I20220204002187 |
Provider Name | Felicia Minniette Heyward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619307956 PECOS PAC ID: 0547490237 Enrollment ID: I20220228001367 |
Provider Name | Pinkie Fitts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407256217 PECOS PAC ID: 1456641273 Enrollment ID: I20220311000156 |
Provider Name | Jayson Reyes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134880859 PECOS PAC ID: 8729473541 Enrollment ID: I20220315000046 |
Provider Name | Jamie Hulm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013475813 PECOS PAC ID: 1658613674 Enrollment ID: I20220321002811 |
Provider Name | Matthew Eifrid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679973630 PECOS PAC ID: 3678894177 Enrollment ID: I20220322000005 |
Provider Name | Lorraine Victorian Burks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033510979 PECOS PAC ID: 9537174701 Enrollment ID: I20220422000562 |
Provider Name | Carly Ellison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508245028 PECOS PAC ID: 8628381118 Enrollment ID: I20220425000115 |
Provider Name | Joseph T Deak |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740741727 PECOS PAC ID: 7416352133 Enrollment ID: I20220608002192 |
Provider Name | Margurite Isaac |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336635598 PECOS PAC ID: 9032462205 Enrollment ID: I20220609001257 |
Provider Name | Carrie Lynne Radding |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861139826 PECOS PAC ID: 9234517863 Enrollment ID: I20220609001578 |
Provider Name | Michele Groetzinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255770970 PECOS PAC ID: 6709029697 Enrollment ID: I20220615003203 |
Provider Name | Valerie Baldwin-thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093713505 PECOS PAC ID: 3072554898 Enrollment ID: I20220623001084 |
Provider Name | Jo Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104804723 PECOS PAC ID: 5294631784 Enrollment ID: I20220705000903 |
Provider Name | Olaf Garcia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073178703 PECOS PAC ID: 2860729506 Enrollment ID: I20220915001195 |
Provider Name | Josiah Keaton Aldrup |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184165748 PECOS PAC ID: 4587939350 Enrollment ID: I20220926000564 |
Provider Name | Christopher Archer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932336344 PECOS PAC ID: 1355565078 Enrollment ID: I20221017001267 |
Provider Name | Charles Berndt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124749221 PECOS PAC ID: 0749657963 Enrollment ID: I20221101001326 |
Provider Name | Kwang Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093329021 PECOS PAC ID: 1557781135 Enrollment ID: I20221109003181 |
Provider Name | Lindsey Amanda Dempster |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306561352 PECOS PAC ID: 8426426735 Enrollment ID: I20221117001454 |
Provider Name | Graceann Ashley Pittari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902520307 PECOS PAC ID: 2365810322 Enrollment ID: I20221122002275 |
Provider Name | Amy Diamond |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144696899 PECOS PAC ID: 3274902192 Enrollment ID: I20221215000057 |
Provider Name | Jodi Barry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952023202 PECOS PAC ID: 3870969611 Enrollment ID: I20230207003666 |
Provider Name | Prescott Martin Westly Coe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376274209 PECOS PAC ID: 0840663399 Enrollment ID: I20230302002183 |
Provider Name | Sidoine Michele Magakou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134841117 PECOS PAC ID: 6002284767 Enrollment ID: I20230731002365 |
Provider Name | Brittany Rideaux |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245799592 PECOS PAC ID: 0042673873 Enrollment ID: I20230828001457 |
Provider Name | Shari Lynn Pettit |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790467942 PECOS PAC ID: 2769845379 Enrollment ID: I20230830001594 |
Provider Name | Amy L Card |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497488654 PECOS PAC ID: 6305227018 Enrollment ID: I20230905000680 |
Provider Name | Sarah Paryga |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588163554 PECOS PAC ID: 1850746488 Enrollment ID: I20231017001075 |
Provider Name | Maryjane Guerrero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689254237 PECOS PAC ID: 2769891605 Enrollment ID: I20231027000045 |
Provider Name | Jennifer Ann Gilligan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922651231 PECOS PAC ID: 1951757715 Enrollment ID: I20231115002560 |
Provider Name | Jasmine Jamerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013789148 PECOS PAC ID: 2062869720 Enrollment ID: I20231117000754 |
Provider Name | Brennan Phillip David Lehotay |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689121394 PECOS PAC ID: 1355715558 Enrollment ID: I20240221003144 |
Provider Name | Jannet Li Harkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962010272 PECOS PAC ID: 9931511078 Enrollment ID: I20240304001507 |
Provider Name | Kristen Vianey Dale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588158042 PECOS PAC ID: 6507118072 Enrollment ID: I20240315002258 |
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