Provider Demographics
NPI:1720207301
Name:GUIDA, RICKIE (NP)
Entity type:Individual
Prefix:
First Name:RICKIE
Middle Name:
Last Name:GUIDA
Suffix:
Gender:
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2630 W BELLEVIEW AVE STE 290
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-7194
Mailing Address - Country:US
Mailing Address - Phone:303-797-9199
Mailing Address - Fax:303-953-0660
Practice Address - Street 1:2630 W BELLEVIEW AVE STE 290
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-7194
Practice Address - Country:US
Practice Address - Phone:303-797-9199
Practice Address - Fax:303-953-0660
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO47421363LX0001X
CORXN.0001390-NP363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1720207301Medicaid
CO9000161631Medicaid
COCO300747Medicare PIN
CO17506239Medicaid
CO37285335Medicaid
COP75299Medicare UPIN