FOSSY NICOLE EVENSON
NPI 1578214672
Case Manager/Care Coordinator in Northglenn, CO

Q: What is Fossy Evenson's NPI number?

The NPI number for Fossy Evenson is 1578214672. It was assigned to this individual provider in the NPPES registry on January 11, 2022.

Q: What is Fossy Evenson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Fossy Evenson was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2022

10699 MELODY DR STE 2, NORTHGLENN, CO 80234(303) 252-4179 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fossy Nicole Evenson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOSSY NICOLE EVENSON (NPI 1578214672) is an individual case manager/care coordinator provider in Northglenn, Colorado and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1578214672

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameFOSSY NICOLE EVENSON

Location Address10699 MELODY DR STE 2Northglenn, CO 80234-4131

Mailing Address1815 E 135th AveThornton, CO 80241-1965 · (303) 997-1242

Phone(303) 252-4179

Sole ProprietorYes

Enumeration DateJanuary 11, 2022

NPPES CertifiedJanuary 11, 2022

✔ NPI 1578214672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

10699 MELODY DR STE 2, Northglenn, CO 80234

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Other Identifiers 1

Other12-276-1010CO · Drivers License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEAN SUN WOO

Social Worker (Clinical)