MRS. PATTI JO IRENE DEMOTTS


Address: 559 Vincent St, 21st Medical Group, Colorado Springs, CO 80914-1541
Phone: 7195561197

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 559 VINCENT ST
21ST MEDICAL GROUP
City COLORADO SPRINGS
State CO
Zip Code 80914-1541

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1891094785 Dawn Marie Murphy Registered Nurse 2472 Raywood Vw Apt 625, Colorado Springs, CO 80920-7757 2011-03-18

Providers in the same taxonomy and state

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
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Competitor

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City COLORADO SPRINGS
Zip Code 80914

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Dataset Information

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.

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