VANESSA G WITTSTRUCK (NPI# 1023447679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023447679 |
| Entity Type | Individual |
| Full Name | VANESSA G WITTSTRUCK |
| Credential | PA-C |
| Practice Address |
2429 35th Ave Greeley CO 80634-4171 |
| Practice Telephone | 3033384545 |
| Mailing Telephone | 3033384545 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2016-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 15-01650 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA.0003759 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 16985001 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 025837 | 01 |
| Street Address |
2429 35TH AVE |
| City | GREELEY |
| State | CO |
| Zip Code | 80634-4171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345391 | Brian J Kingston | Family Medicine | 2429 35th Ave, Greeley, CO 80634-4171 | 2005-06-08 |
| 1164875431 | Colorado Permanente Medical Group, P.C. | Clinic/Center | 2429 35th Ave, Greeley, CO 80634-4171 | 2016-07-21 |
| 1558789263 | Emily Grace Allwein | Pediatrics | 2429 35th Ave, Greeley, CO 80634-4171 | 2014-03-31 |
| 1225469232 | Kaiser Foundation Health Plan of Colorado | Clinical Medical Laboratory | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-12-02 |
| 1467882597 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-11-27 |
| 1699116780 | Cavan Wilhelm | Pharmacist | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-07-17 |
| 1710227434 | Kaiser Foundation Health Plan of Co | Clinic/Center | 2429 35th Ave, Greeley, CO 80634-4171 | 2013-02-15 |
| 1679865091 | Lindsey Kae Gerdes | Family Medicine | 2429 35th Ave, Greeley, CO 80634-4171 | 2011-05-03 |
| 1801099585 | Amanda Elizabeth Hill | Pediatrics | 2429 35th Ave, Greeley, CO 80634-4171 | 2007-06-08 |
| 1336279124 | David Lee Sadeghi | Chiropractor | 2429 35th Ave, Greeley, CO 80634-4171 | 2007-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1730706102 | Heart Centered Counseling | Counselor | 1770 W 25th Street #206, Greeley, CO 80634 | 2020-07-01 |
| 1396374237 | Kidstuff Child and Family Counseling, P.C. | Counselor | 1770 25th Ave., Ste. 102, Greeley, CO 80634 | 2020-04-03 |
| 1164055745 | Stephanie Alexis Balunda | Speech-Language Pathologist | Uchealth Physical Therapy and Rehabilitation Clinic, 6767 West 29th St., Greeley, CO 80634 | 2020-02-21 |
| 1407413727 | Stephen P Street Pllc | Counselor | 4657 W. 20th Street, Unit B, Greeley, CO 80634 | 2019-05-22 |
| 1043797749 | Burt Stewart Dmd Pllc | Clinic/Center | 6937 West 10th Street, Greeley, CO 80634 | 2018-07-25 |
| 1164913885 | Innovations Pediatric Therapy, LLC | Occupational Therapist | 3403 W 7th St Apt A, Greeley, CO 80634 | 2018-05-29 |
| 1003305319 | Austin Michael Lake | Physical Therapist | 4681 W 20th St Unit 202b, Greeley, CO 80634 | 2018-05-02 |
| 1225542004 | Kevin Lichner | Specialist/Technologist | 522 28th Ave, Greeley, CO 80634 | 2017-11-30 |
| 1538683909 | Stacie Jackson | Physician Assistant | 6500 West 29th St Ste 106, Greeley, CO 80634 | 2017-07-27 |
| Find all providers in zip 80634 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528463056 | Holly Andrews | Physician Assistant | 6500 29th St, Suite 106, Greeley, CO 80634-8386 | 2014-10-27 |
| 1255746095 | Rachel Quinn Collins | Physician Assistant | 6801 W. 20th Suite 208, Greeley, CO 80651 | 2014-06-30 |
| 1619218724 | Adam Bonner | Physician Assistant | 2101 16th St, Greeley, CO 80631-5116 | 2013-03-14 |
| 1568544906 | Andrea J Nettles | Physician Assistant | 2001 70th Ave Ste 110, Greeley, CO 80634-4628 | 2006-10-19 |
| 1851487680 | Donald D. Downs | Physician Assistant | 1275 58th Ave Ste C, Greeley, CO 80634-4815 | 2006-10-05 |
| 1427082965 | Brenda Hinze | Physician Assistant | 1800 15th Street, Ste 310, Greeley, CO 80631 | 2006-07-10 |
| 1639695083 | Michael R Giacopelli | Physician Assistant | 8225 W 20th St, Greeley, CO 80634-3037 | 2017-08-17 |
| 1427413392 | Darci Rossiter | Physician Assistant | 1175 58th Ave, Suite 200, Greeley, CO 80634-4807 | 2015-12-21 |
| 1336560051 | Kirsten Jean Mccullough | Physician Assistant | 6801 W 20th St, Suite 101, Greeley, CO 80634-9637 | 2013-12-23 |
| 1821348483 | Shane Cramer | Physician Assistant | 1801 16th St., Greeley, CO 80631 | 2012-09-11 |
| Find all providers in GREELEY | ||||
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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.