EBONY VILLARREAL (NPI# 1043691314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043691314 |
| Entity Type | Individual |
| Full Name | EBONY VILLARREAL |
| Practice Address |
1214 S Sheridan Blvd Dept Denver CO 80232-8022 |
| Practice Telephone | 3032334671 |
| Practice Fax Number | 3039357597 |
| Mailing Telephone | 3032334671 |
| Mailing Fax Number | 3039357597 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2018-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4307 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 38135043 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1860 E Egbert St, Brighton, CO 806012475 | 3036594000 | 3036554924 |
| Street Address |
1214 S SHERIDAN BLVD DEPT |
| City | DENVER |
| State | CO |
| Zip Code | 80232-8022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453396 | Brittni Ann Reid | Chiropractor | 1360 S. Wadsworth Blvd, Suite #104, Lakewood, CO 80232 | 2020-07-06 |
| 1144711870 | Vanessa Rangel | Behavior Technician | 8237 W Mexico Ave Lakewood Co, Lakewood, CO 80232 | 2018-05-29 |
| 1265947683 | Kampwerth Chiropractic, LLC | Chiropractor | 6565 W. Jewell Ave, # 12a, Lakewood, CO 80232 | 2017-12-07 |
| 1912416660 | Michelle Lee Dixon | Occupational Therapist | 1622 S Owens St. Apt #288, Lakewood, CO 80232 | 2017-09-26 |
| 1144756537 | Virginia Night | Occupational Therapist | 1259 S Quail St, Lakewood, CO 80232 | 2017-05-04 |
| 1588195093 | Rocky Mountain Employment Services | Community/Behavioral Health | 6054 W Utah Ln, Lakewood, CO 80232 | 2017-03-26 |
| 1932584299 | Brian Cohn Bcba LLC | Behavioral Analyst | 1626 S Kline Ct, Lakewood, CO 80232 | 2015-07-28 |
| 1588044754 | Ignacia Genco | Acupuncturist | 6655 W. Jewell Ave Unit 201, Lakewood, CO 80232 | 2015-06-03 |
| 1992079172 | Michael Anthony Rooney | Counselor | 6655 West Jewell Ave, Suite #102, Lakewood, CO 80232 | 2012-03-06 |
| 1407165491 | Kelly Ann Garcia-brauch | Counselor | 1880 S Pierce St Ste 11, Lakewood, CO 80232 | 2010-09-24 |
| Find all providers in zip 80232 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1346849957 | Brittany Elizabeth Driscoll | Physician Assistant | 3056 S Grape Way, Denver, CO 80222-6810 | 2020-10-23 |
| 1912506528 | Christina Walley | Physician Assistant | 1111 Ash St Apt 701, Denver, CO 80220-3758 | 2020-10-23 |
| 1184223794 | Mckenzie Grace | Physician Assistant | 50 N Clarkson St Apt 205, Denver, CO 80218-3739 | 2020-10-23 |
| 1679183909 | Skye Smock | Physician Assistant | 3704 Dexter St, Denver, CO 80207-1045 | 2020-08-02 |
| 1558982397 | Aubrey Leigh Griffiths | Physician Assistant | 2890 Brighton Blvd Unit 347, Denver, CO 80216-5057 | 2020-05-04 |
| 1629616438 | Danielle Lacy | Physician Assistant | 5033 Tucson Way, Denver, CO 80239-4339 | 2019-12-12 |
| 1811531189 | Valerie C Sarni | Physician Assistant | 5974 Central Park Blvd, Denver, CO 80238-3993 | 2019-10-30 |
| 1578105615 | Mackenzie Dwyer | Physician Assistant | 295 E Speer Blvd Apt 339, Denver, CO 80203-3562 | 2019-10-10 |
| 1871149831 | Miles Saenger | Physician Assistant | 6127 S Hwy 16, Denver, NC 28037-9220 | 2019-08-15 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.