MRS. ANGELINA KELLY VISCARDI WALLER (NPI# 1417061821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417061821 |
| Entity Type | Individual |
| Full Name | MRS. ANGELINA KELLY VISCARDI WALLER |
| Credential | PA-C |
| Practice Address |
11960 Lioness Way Ste 260 Parker CO 80134 |
| Mailing Address |
8101 E Lowry Blvd Ste 230 Denver CO 80230-7195 |
| Practice Telephone | 3033449090 |
| Practice Fax Number | 7208951121 |
| Mailing Telephone | 3033449090 |
| Mailing Fax Number | 3033441922 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2178 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
2178 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8101 E Lowry Blvd Ste 230, Denver, CO 802307195 | 3033449090 | 3033441922 |
| Street Address |
11960 LIONESS WAY STE 260 |
| City | PARKER |
| State | CO |
| Zip Code | 80134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467410704 | Scott G. Resig | Orthopaedic Surgery | 11960 Lioness Way Ste 260, Parker, CO 80134 | 2006-05-03 |
| 1497378608 | Sara Lagrave Peterson | Physical Therapist | 11960 Lioness Way Ste 260, Parker, CO 80134-5640 | 2020-05-21 |
| 1497221063 | Orthopedic Centers of Colorado, LLC | Orthopaedic Surgery | 11960 Lioness Way Ste 260, Parker, CO 80134-5640 | 2018-10-22 |
| 1457842155 | Lauren Lagro Knuth | Physical Therapist | 11960 Lioness Way Ste 260, Parker, CO 80134-5640 | 2018-05-29 |
| 1679951149 | Carole Reda | Physical Therapist | 11960 Lioness Way Ste 260, Parker, CO 80134-5640 | 2015-05-15 |
| 1508814278 | Cary R. Motz | Orthopaedic Surgery | 11960 Lioness Way Ste 260, Parker, CO 80134 | 2006-05-05 |
| 1184682742 | Alireza Todd Alijani | Orthopaedic Surgery | 11960 Lioness Way Ste 260, Parker, CO 80134 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821560731 | Michaela Cox | Massage Therapist | 18551 E Mainstreet #103, Suite 15, Parker, CO 80134 | 2018-12-18 |
| 1376038315 | Danielle Rene Adamson | Audiologist | 11211 South Bransfeltd Road, Parker, CO 80134 | 2018-06-22 |
| 1316431042 | Michael Petrie | Massage Therapist | 10841 S Crossroads Drive, Suite 17, Parker, CO 80134 | 2018-06-16 |
| 1942729942 | Anthony Bricker | Specialist/Technologist | 5303 Territorial Street, Parker, CO 80134 | 2017-09-12 |
| 1609394238 | Mountain Peak Counseling | Counselor | 12760 Stroh Ranch Way Suite 201, Parker, CO 80134 | 2017-09-04 |
| 1013448497 | Cvs Pharmacy, Inc | Durable Medical Equipment & Medical Supplies | 16920 Lincoln Ave, Parker, CO 80134 | 2017-03-27 |
| 1043759921 | Timothy Michael Loar | Physical Therapist | 19964 E. Hilltop Rd, Suite B, Parker, CO 80134 | 2017-02-13 |
| 1851842835 | Carla S Bradburn | Counselor | 9581 Pearl Circle, #105, Parker, CO 80134 | 2016-10-14 |
| 1942653258 | West Coast Neuro | Specialist/Technologist, Other | 10940 S Parker Rd # 503, Parker, CO 80134 | 2016-07-21 |
| 1487036950 | Amber Abrams | Nurse Practitioner | 4251 Twenty Mile Rd, Parker, CO 80134 | 2015-06-22 |
| Find all providers in zip 80134 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528478476 | Carol A Hunter | Physician Assistant | 9235 Crown Crest Blvd Ste 100, Parker, CO 80138-8881 | 2014-04-30 |
| 1861777567 | Angela Cole | Physician Assistant | 19284 Cottonwood Dr Ste 204, Parker, CO 80138-3881 | 2011-10-14 |
| 1164758728 | Andrea Martha Hoff | Physician Assistant | 905 S. Fiesta Avenue, Parker, AZ 85344 | 2009-11-02 |
| 1629199062 | Chrmeg Med Inc | Physician Assistant | 10259 S. Parker Road, Suite 200, Parker, CO 80134 | 2007-04-03 |
| 1477065548 | Anna Miller | Physician Assistant | 19964 Hilltop Rd Ste A, Parker, CO 80134-7316 | 2017-10-30 |
| 1972052868 | Nathan Schulte | Physician Assistant | 10371 Parkglenn Way Ste 100, Parker, CO 80138-3871 | 2016-10-03 |
| 1235589284 | Arianna Groven | Physician Assistant | 10371 Parkglenn Way, Suite 100, Parker, CO 80138-3885 | 2016-06-20 |
| 1568821338 | Staci Ann Page | Physician Assistant | 1200 W Mohave Rd, Parker, AZ 85344-6349 | 2016-02-22 |
| 1417385428 | Elizabeth Amney Rowan | Physician Assistant | 9395 Crown Crest Blvd, Parker, CO 80138-8573 | 2013-10-30 |
| 1659632040 | Jaime Lynn Fell | Physician Assistant | 9235 Crown Crest Blvd, 100, Parker, CO 80138-8880 | 2012-06-02 |
| Find all providers in PARKER | ||||
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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.