MRS. ANNETTE V. WYCHGRAM (NPI# 1992134621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992134621 |
| Entity Type | Individual |
| Full Name | MRS. ANNETTE V. WYCHGRAM |
| Other Name | MS. ANNETTE V KOZIEL |
| Credential | NP |
| Practice Address |
10700 E Geddes Ave Suite 200 Englewood CO 80112-3800 |
| Practice Telephone | 3037619190 |
| Practice Fax Number | 7208744462 |
| Mailing Telephone | 3037619190 |
| Mailing Fax Number | 7208744462 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2017-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0990852 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 1992134621 | 05 | |
| CO | 13739239 | 05 |
| Street Address |
10700 E GEDDES AVE SUITE 200 |
| City | ENGLEWOOD |
| State | CO |
| Zip Code | 80112-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922083401 | Phillip Gunther | Radiology | 10700 E Geddes Ave, Ste 200, Englewood, CO 80112-3800 | 2005-12-07 |
| 1376992818 | Terri A Schaber | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2016-06-06 |
| 1720485725 | Patricia Roeber Petrosky | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2014-11-19 |
| 1871914721 | Rocky Mountain Medical Group P.C. | Preventive Medicine | 10700 E Geddes Ave, Suite 100, Englewood, CO 80112-3800 | 2013-12-19 |
| 1588939714 | Amanda Leigh Small | Nurse Practitioner | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2012-03-21 |
| 1245514710 | Jessica Brooke Gaither | Radiologic Technologist | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2011-10-03 |
| 1134402415 | Benjamin Atchie | Radiology | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2011-09-23 |
| 1386955516 | Amy Rebecca Yactor Tolbert | Radiology | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2010-06-22 |
| 1972739001 | Michelle T Black | Internal Medicine | 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 | 2009-06-03 |
| 1366609653 | Shane C Wheeler | Radiology | 10700 E Geddes Ave, 200, Englewood, CO 80112-3800 | 2008-05-22 |
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|---|---|---|---|---|
| 1750921177 | Natalie Jo Stevenson | Social Worker | 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 | 2020-01-14 |
| 1033757109 | Sauder Psychology, Inc | Psychologist | 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 | 2019-12-19 |
| 1588213581 | Myappstorebiz | Special Hospital | 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 | 2019-09-11 |
| 1669930319 | Linked To Craig 501c3 | Dentist | 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 | 2019-03-12 |
| 1528538311 | Cherish Mitchell | Behavior Technician | 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 | 2018-12-05 |
| 1144706920 | Margaret Mary Froehlke | Homemaker | 6278 E Jamison Dr, Centennial, CO 80112 | 2018-07-16 |
| 1376038240 | Elizabeth Ann Dickason | Physician Assistant | 9094 East Mineral Avenue, #100, Englewood, CO 80112 | 2018-06-24 |
| 1770075467 | Dry Creek Surgery Center, LLC | Clinic/Center | 125 Inverness Dr E Ste 150, Englewood, CO 80112 | 2018-05-30 |
| 1639669476 | Uchealth Ambulatory Surgery Centers | Clinic/Center | 175 Inverness Drive West, Englewood, CO 80112 | 2018-05-17 |
| 1427545227 | Patterns Behavioral Services Colorado Inc | Assistant Behavior Analyst | 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 | 2018-04-17 |
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| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508495821 | Jawana Lynn Watson | Nurse Practitioner | 307 Kristina Lynn Pl, Englewood, OH 45322-2354 | 2020-04-07 |
| 1003449737 | Michelle May Roe | Nurse Practitioner | 21 Oakland St, Englewood, NJ 07631-2112 | 2020-02-21 |
| 1528608197 | Ashley Lynn Thompson | Nurse Practitioner | 885 N Union Rd., Englewood, OH 45322 | 2020-01-13 |
| 1619518453 | Theresa Carol Lee | Nurse Practitioner | 420 Grand Ave Ste 101, Englewood, NJ 07631-4141 | 2019-10-02 |
| 1194373977 | Jane Uloma Ibe | Nurse Practitioner | 4018 Clearstream Way, Englewood, OH 45322-1458 | 2019-08-26 |
| 1932768330 | Laurie Ann Cucco | Nurse Practitioner | 3302 Riverview Ave, Englewood, NJ 07631-8720 | 2019-06-10 |
| 1326522848 | Quynh Doan | Nurse Practitioner | 2828 S Mccall Rd Ste 8, Englewood, FL 34224-9516 | 2018-09-20 |
| 1669998464 | Jennifer Diane Novotny | Nurse Practitioner | 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 | 2017-08-14 |
| 1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
| 1851844211 | Sm Medical LLC | Nurse Practitioner | 1008 Sunset Dr, Englewood, OH 45322-2253 | 2016-08-02 |
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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.