Annalise Catharine Everett

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1115 2ND St
Fort Lupton, CO 80621-1745

Phone

(303) 697-2583

Fax

(720) 322-9411

NPI assigned

Jul 13, 2015

Last updated

Apr 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1740664408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N 17TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806319584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 2ND ST",
            "city": "FORT LUPTON",
            "state": "CO",
            "postal_code": "806211745",
            "telephone_number": "303-697-2583",
            "fax_number": "720-322-9411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "72 East Dedham St.",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-292-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 N 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806319584",
            "country_code": "US",
            "telephone_number": "970-347-2120",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "72 East Dedham St.",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-292-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 1st St",
            "address_purpose": "LOCATION",
            "city": "Fort Lupton",
            "state": "CO",
            "postal_code": "806212002",
            "country_code": "US",
            "telephone_number": "970-347-2120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "ANNALISE",
        "middle_name": "CATHARINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-13",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa S Doi, PHYSCIAL THERAPIST
• Dennis Dominguez, RPH
• Sarah Eggert
• Kalina Ehrenreich-Piot, D.O.
• Scott William Entrekin
• Tillman Farley, MD
• Fort Lupton Dental Group P.C.
• Fort Lupton Vision Center PC
• Ft Lupton Medical Team PC
• Olga Laura Garcia-Cortez, RN

• Clinical Social Worker in Fort Lupton, CO
• Providers in Fort Lupton, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.