| Rose Neurospa | |
|
10450 Park Meadows Dr Ste 100 Lone Tree CO 80124-5528 | |
| (303) 718-4889 | |
| Not Available |
| Full Name | Rose Neurospa |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10450 Park Meadows Dr Ste 100, Lone Tree, Colorado |
| Authorized Official Name and Position | Karla Tartz (PRESIDENT) |
| Authorized Official Contact | 3037184889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Neurospa 6813 Northstar Cir Castle Rock CO 80108-8021 Ph: (303) 718-4889 | Rose Neurospa 10450 Park Meadows Dr Ste 100 Lone Tree CO 80124-5528 Ph: (303) 718-4889 |
| NPI Number | 1609523810 |
|---|---|
| Provider Enumeration Date | 03/08/2022 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Medicare PECOS PAC ID | 1759744279 |
|---|---|
| Medicare Enrollment ID | O20230831002273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609523810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Harmony E Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730118274 PECOS PAC ID: 3274763222 Enrollment ID: I20140313000779 |
| Provider Name | Shantel Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831576107 PECOS PAC ID: 4880916964 Enrollment ID: I20150601000743 |
| Provider Name | Kamleh Shaban |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821356452 PECOS PAC ID: 3779899810 Enrollment ID: I20171201001506 |
| Provider Name | Rachel Marie Hiatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740942606 PECOS PAC ID: 9537557749 Enrollment ID: I20211020002175 |
| Provider Name | Scott Akridge |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356845408 PECOS PAC ID: 4082969167 Enrollment ID: I20220727004262 |
| Provider Name | Mark Patrick Mcnary |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235863366 PECOS PAC ID: 5597112250 Enrollment ID: I20231117000808 |
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