Provider Demographics
NPI:1821062043
Name:SCHMIDT, MELYNDA BECKER (ANP)
Entity Type:Individual
Prefix:MS
First Name:MELYNDA
Middle Name:BECKER
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:MELYNDA
Other - Middle Name:LEE
Other - Last Name:WEISS, HAMILTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ANP
Mailing Address - Street 1:8300 ALCOTT ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-4008
Mailing Address - Country:US
Mailing Address - Phone:303-269-2600
Mailing Address - Fax:303-269-2610
Practice Address - Street 1:1020 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-6002
Practice Address - Country:US
Practice Address - Phone:303-914-2680
Practice Address - Fax:303-914-2682
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN804126363L00000X
CO2879363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN804126OtherSTATE LICENSE