| Heartlight Family Clinic, Llc | |
|
1001 S Perry St Ste 104b Castle Rock CO 80104-1950 | |
| (720) 485-3178 | |
| (720) 414-0006 |
| Full Name | Heartlight Family Clinic, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1001 S Perry St Ste 104b, Castle Rock, Colorado |
| Authorized Official Name and Position | Brent Herron (OWNER) |
| Authorized Official Contact | 7204853178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartlight Family Clinic, Llc 1001 S Perry St Ste 104b Castle Rock CO 80104-1950 Ph: (720) 485-3178 | Heartlight Family Clinic, Llc 1001 S Perry St Ste 104b Castle Rock CO 80104-1950 Ph: (720) 485-3178 |
| NPI Number | 1639529738 |
|---|---|
| Provider Enumeration Date | 06/20/2016 |
| Last Update Date | 09/19/2023 |
| Medicare PECOS PAC ID | 5597046219 |
|---|---|
| Medicare Enrollment ID | O20170111001257 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639529738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LP2300X | Nurse Practitioner - Primary Care | (* (Not Available)) | Secondary |
| Provider Name | Kristin Rinn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447374210 PECOS PAC ID: 8022114297 Enrollment ID: I20070504000041 |
| Provider Name | Barbara Ann Morris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255468203 PECOS PAC ID: 8820162415 Enrollment ID: I20080730000571 |
| Provider Name | Katrina M De Romana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679751267 PECOS PAC ID: 7214083898 Enrollment ID: I20090923000390 |
| Provider Name | Bronwyn Kathleen Radcliffe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588683213 PECOS PAC ID: 0345427563 Enrollment ID: I20120502000649 |
| Provider Name | Paul G Garraty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922362201 PECOS PAC ID: 0143477513 Enrollment ID: I20120821000305 |
| Provider Name | Bert Bergland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407111768 PECOS PAC ID: 5395725709 Enrollment ID: I20131123000037 |
| Provider Name | Chika V Achebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225454275 PECOS PAC ID: 7113140450 Enrollment ID: I20140514000801 |
| Provider Name | Santiana Vanmaldeghem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114313673 PECOS PAC ID: 1456633536 Enrollment ID: I20170125001524 |
| Provider Name | Kim L Paxton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649539685 PECOS PAC ID: 6901177526 Enrollment ID: I20170801000126 |
| Provider Name | Shawn R Brekke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558576512 PECOS PAC ID: 3678602141 Enrollment ID: I20180530000454 |
| Provider Name | Carrie Marie Ferguson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306387436 PECOS PAC ID: 1355616962 Enrollment ID: I20180725002090 |
| Provider Name | Kindra L Leduc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609350784 PECOS PAC ID: 5395082440 Enrollment ID: I20190128001094 |
| Provider Name | Ty Shettron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659709574 PECOS PAC ID: 2860481223 Enrollment ID: I20190218001410 |
| Provider Name | Marian Lin Mondy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952955403 PECOS PAC ID: 5294065314 Enrollment ID: I20191002002275 |
| Provider Name | Amelia Truesdale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629590146 PECOS PAC ID: 4688905201 Enrollment ID: I20191014001097 |
| Provider Name | Rachel L Stolley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124017967 PECOS PAC ID: 8820391998 Enrollment ID: I20191031003049 |
| Provider Name | Tina Kauderer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366763468 PECOS PAC ID: 4688960610 Enrollment ID: I20201221001192 |
| Provider Name | Casey Schuler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356957021 PECOS PAC ID: 3779991237 Enrollment ID: I20210421002478 |
| Provider Name | Zeina Dehni |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972190882 PECOS PAC ID: 6406258342 Enrollment ID: I20210714002082 |
| Provider Name | Shahbanoo Ghaffari Zandi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962706804 PECOS PAC ID: 0446435986 Enrollment ID: I20220405000879 |
| Provider Name | Tate B Ulrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982296885 PECOS PAC ID: 7810371150 Enrollment ID: I20220906000134 |
| Provider Name | Jamie Hanosh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497471197 PECOS PAC ID: 5799155222 Enrollment ID: I20221228000870 |
| Provider Name | Kathleen Marie Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235855032 PECOS PAC ID: 2769853514 Enrollment ID: I20230113002196 |
| Provider Name | Christl D Reinig-everett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194085001 PECOS PAC ID: 6002287638 Enrollment ID: I20230118003122 |
| Provider Name | Kimberly Lynn Inman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821798877 PECOS PAC ID: 8729121132 Enrollment ID: I20230615002433 |
| Provider Name | Brent Herron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437544558 PECOS PAC ID: 4688982788 Enrollment ID: I20230721002483 |
| Provider Name | Adam Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427779008 PECOS PAC ID: 2163894890 Enrollment ID: I20240125000619 |
Three Oaks Family Medicine, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1161 S Perry St, Suite 100, Castle Rock, CO 80104 Phone: 303-688-5456 Fax: 303-688-5924 | |
South Denver Gi Castle Rock, Division Of Gi Care Of Colorado Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3911 Ambrosia St Ste 201, Castle Rock, CO 80109 Phone: 303-788-8888 Fax: 303-788-6452 | |
Ridgeline Family Medicine At The Meadows Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2352 Meadows Blvd, Ste. 300, Castle Rock, CO 80109 Phone: 720-455-3750 Fax: 720-455-3751 | |
Center Pointe Family Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Oakwood Park Plz Ste 101, Castle Rock, CO 80104 Phone: 719-282-6100 | |
Portercare Adventist Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2356 Meadows Blvd Ste 140b, Castle Rock, CO 80109 Phone: 303-218-7774 Fax: 303-660-5065 | |
Kaiser Permanente Castle Rock Medical Offices Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4318 Trail Boss Dr, Ste 100, Castle Rock, CO 80104 Phone: 303-338-4545 | |
Healthfit Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2356 Meadows Blvd, Suite 140b, Castle Rock, CO 80109 Phone: 303-218-7774 Fax: 303-660-5065 |