DOMINIQUE A. VERRECCHIA (NPI# 1558335778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558335778 |
| Entity Type | Individual |
| Full Name | DOMINIQUE A. VERRECCHIA |
| Credential | PA |
| Practice Address |
2400 S Peoria St #100 Aurora CO 80014-5476 |
| Practice Telephone | 3033064321 |
| Practice Fax Number | 3033064347 |
| Mailing Telephone | 3033064321 |
| Mailing Fax Number | 3033064347 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2013-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1318 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 06403743 | 05 |
| Street Address |
2400 S PEORIA ST #100 |
| City | AURORA |
| State | CO |
| Zip Code | 80014-5476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215937115 | Wayne Eric Miller | Internal Medicine | 2400 S Peoria St, 100, Aurora, CO 80014-5476 | 2005-07-21 |
| 1023386588 | Pamela Ann Werner | Registered Nurse | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2011-12-12 |
| 1528335890 | Senior Care of Colorado | Skilled Nursing Facility | 2400 S Peoria St, Suite 100, Aurora, CO 80014-5476 | 2011-11-30 |
| 1306129697 | Jamie E Baldwin | Physician Assistant | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2011-09-22 |
| 1164700662 | Patricia Louise Stewart | Nurse Practitioner | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2011-08-01 |
| 1932415114 | Phuong-linh Thi Nguyen | Nurse Practitioner | 2400 S Peoria St, Suite 100, Aurora, CO 80014-5476 | 2010-08-25 |
| 1790096238 | Melissa Cardenas | Nurse Practitioner | 2400 S Peoria St, Suite 100, Aurora, CO 80014-5417 | 2010-06-30 |
| 1013247808 | Karlee Chapman | Nurse Practitioner | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2009-12-30 |
| 1285870717 | Sruti Pradhan | Internal Medicine | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2009-01-06 |
| 1689824237 | Mary L Melia | Internal Medicine | 2400 S Peoria St, #100, Aurora, CO 80014-5476 | 2008-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942825021 | Dieuvil Varice | Occupational Therapist | 2851 S Parker Rd Ste 570, Aurora, Co, Aurora, CO 80014 | 2020-06-14 |
| 1518437144 | Curtis E Redd | Case Manager/Care Coordinator | 1059 E Bethany Dr, Suite 200, Aurora, CO 80014 | 2018-11-27 |
| 1144795154 | Prestige Adult Day Care LLC | Clinic/Center | 2860 S Havana St, Unit C, Aurora, CO 80014 | 2018-10-05 |
| 1609375492 | Jacob Mcbride | Behavior Technician | 2121 S Blackhawk St 100, Aurora, CO 80014 | 2018-02-07 |
| 1265931240 | Jasmine Nicole Joseph | Behavior Technician | 2121 S. Blackhawk St., Aurora, CO 80014 | 2018-02-06 |
| 1255830238 | Russel Talukder | Behavioral Analyst | 2121 South Blackhawk St 100, Aurora, CO 80014 | 2018-02-06 |
| 1467951442 | Dylan Kelley | Behavior Technician | 2121 Blackhawk St. Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1184123168 | Talisa Fisher | Behavior Technician | 2121 S Blackhawk St Suite 100, Aurora, CO 80014 | 2018-02-06 |
| 1144732314 | Hellen A Noamesi | Registered Nurse | Kaiser Water Park 1, 2500 S. Havana St, Aurora, CO 80014 | 2017-10-27 |
| 1255840641 | Amanda Dawn Thompson | Massage Therapist | 3035 South Parker Rd., 560 Building E, Aurora, CO 80014 | 2017-09-28 |
| Find all providers in zip 80014 | ||||
| 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 |
|---|---|---|---|---|
| 1396344917 | Jesse Hines | Physician Assistant | 11945 E Cornell Cir, Aurora, CO 80014-3151 | 2020-10-23 |
| 1124632815 | Jessica Ballou | Physician Assistant | 13001 E 17th Pl Rm E7019, Aurora, CO 80045-2570 | 2020-09-01 |
| 1134732373 | Brooke Schlachtenhaufen Owens | Physician Assistant | 22021 E Prentice Pl, Aurora, CO 80015-7516 | 2020-08-27 |
| 1346881109 | Kevin Fasing | Physician Assistant | 1635 Aurora Ct Ste F722, Aurora, CO 80045-2555 | 2019-10-03 |
| 1457914731 | Alison Henderson | Physician Assistant | 3680 S Biscay Ct, Aurora, CO 80013-3618 | 2019-04-22 |
| 1033678529 | Jenna Elyse Eisses | Physician Assistant | 2234 Kenyon Ct, Aurora, IL 60502-1393 | 2019-03-14 |
| 1386156339 | Eva Marie Doyle | Physician Assistant | 837 Hardin Ave, Aurora, IL 60506-4936 | 2017-10-31 |
| 1093244626 | Amanda Lynn Roche | Physician Assistant | 270 N Kingsway Dr, Aurora, IL 60506-4521 | 2017-06-07 |
| 1558899625 | Stacey Robyn Gundry | Physician Assistant | 13121 E 17th Ave # Ms 8414, Aurora, CO 80045-2535 | 2017-06-01 |
| 1568996486 | Hannah Griffin | Physician Assistant | 13123 E 16th Ave Ste 306-b, Aurora, CO 80045-7106 | 2017-04-18 |
| Find all providers in AURORA | ||||
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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.