MRS. PATTI JO IRENE DEMOTTS (NPI# 1558694935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558694935 |
Entity Type | Individual |
Full Name | MRS. PATTI JO IRENE DEMOTTS |
Credential | NP |
Practice Address |
559 Vincent St 21st Medical Group Colorado Springs CO 80914-1541 |
Mailing Address |
31 Langley St Colorado Springs CO 80916-5249 |
Practice Telephone | 7195561197 |
Mailing Telephone | 5714840057 |
Enumeration Date | 2009-09-16 |
Last Update Date | 2015-03-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
129992-030 | WI | Nursing Service Providers |
Y | 163WP0200X |
Registered Nurse Specialization: Pediatrics |
3782-033 | WI | Nursing Service Providers |
Street Address |
559 VINCENT ST 21ST MEDICAL GROUP |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80914-1541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639792195 | Sarah Whitney Jackson | Pharmacist | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2020-05-19 |
1811378607 | Justin Henry Noble | Family Medicine | 559 Vincent St, Colorado Springs, CO 80914 | 2015-06-17 |
1700276730 | Theresa Gilbert | Pharmacist | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2015-01-29 |
1740417641 | David Andrew Holman | Military Health Care Provider | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2009-06-18 |
1386879633 | Edward L Nelson Jr. | Military Health Care Provider | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2009-05-15 |
1831333996 | Mandy Grimm | Military Health Care Provider | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2009-04-20 |
1386887792 | Jovonne D Parnell | Military Health Care Provider | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2009-04-15 |
1366652653 | Dawn Angelen Scovel | Social Worker | 559 Vincent St, Attn: 21mdos/sgoh, Colorado Springs, CO 80914-1541 | 2007-05-23 |
1487701116 | Lloyd Christopher Scharfenstine | Physician Assistant | 559 Vincent St, Colorado Springs, CO 80914-1541 | 2007-01-04 |
1730258732 | Hans Joseph Meissnest | Physical Therapist | 559 Vincent St, Attn: 21 Mdos/sgoy -pt, Colorado Springs, CO 80914-1540 | 2006-11-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356897250 | Kym Littlefield Whitaker | Nurse Practitioner | 110 Ent Avenue, Peterson Afb, CA 80914 | 2016-08-30 |
1114322583 | Jessica Charmaine Johnson | Social Worker | 559 Vincent St, Bldg 959, Attn: 21 Omrs/sgow, Peterson Afb, CO 80914 | 2014-10-28 |
1306916267 | John Frank Drozd | Psychologist | 21st Medical Group, 559 Vincent Street, Peterson Afb, CO 80914 | 2006-11-08 |
1801858865 | Moshe Mark Douglas Wexler | Clinical Neuropsychologist | 110 W. Ent Ave. Bldg 725, 21 Mdos/sgoh, Pafb, CO 80914 | 2006-04-05 |
1215902002 | William J Dickson | Dentist | Peterson Afb, Bld 950, Colorado Springs, CO 80914 | 2006-02-23 |
1740889773 | Brandon Dean Estes | Dental Hygienist | 1055 Stewart Ave, Bldg 2018, Apo, AA 80914 | 2020-10-21 |
1225458789 | Brianna Mcmurray | Family Medicine | 559 Vincent St Bldg 959, Colorado Springs, CO 80914 | 2014-04-23 |
1720406796 | Beth D Achterhoff | Physical Therapist | 559 Vincent St Bldg 959, Peterson Afb, CO 80914 | 2014-04-07 |
1275712895 | Monica Ibarra | Counselor | 559 Vincent St., Attn: 21 Mdos/sgow - Family Advocacy, Peterson Afb, CO 80914 | 2007-10-31 |
1912258591 | Ruth Angela Monsanto-williams | Nurse Practitioner | 110 West Ent Ave, Peterson Afb, 21st Medical Group, Colorado Springs, CO 80914-1540 | 2012-09-24 |
Find all providers in zip 80914 |
Taxonomy Code | 163WP0200X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891094785 | Dawn Marie Murphy | Registered Nurse | 2472 Raywood Vw Apt 625, Colorado Springs, CO 80920-7757 | 2011-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871117226 | Emily Ann Ziniel | Registered Nurse | 3905 Moore St, Wheat Ridge, CO 80033-4036 | 2020-06-02 |
1720586985 | Holly Annette Dickinson | Registered Nurse | 4848 Thompson Pkwy Ste 300, Johnstown, CO 80534-6431 | 2018-01-23 |
1487189981 | Sarah Bartek Eckhart | Registered Nurse | 1091 Riddlewood Rd, Highlands Ranch, CO 80129-6980 | 2017-04-22 |
1376943118 | Barbara Berg | Registered Nurse | 3333 Regis Blvd., G-8, Denver, CO 80221-1099 | 2014-08-29 |
1679840326 | Sarah Elizabeth Thompson | Registered Nurse | 9137 E Mineral Cir Ste 110, Centennial, CO 80112-3422 | 2011-11-23 |
1033341607 | Julianne Davis Arenson | Registered Nurse | 4107 S Federal Blvd, Englewood, CO 80110-4316 | 2009-08-17 |
1013186758 | Ann Froese-fretz | Registered Nurse | 13123 E 16th Ave # B444, Aurora, CO 80045-7106 | 2008-02-27 |
1619167129 | Cynthia Louise Babb | Registered Nurse | 8759 W Cornell Ave, #2, Lakewood, CO 80227-4879 | 2007-07-31 |
1407496417 | Jessica Van Ingen | Registered Nurse | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2020-01-08 |
1003452137 | Elisha Elizabeth Mcguire | Registered Nurse | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2019-11-25 |
Find all providers with the same taxonomy |
City | COLORADO SPRINGS |
Zip Code | 80914 |
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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.