MRS. RENAE TABIN (NPI# 1467636787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467636787 |
Entity Type | Individual |
Full Name | MRS. RENAE TABIN |
Other Name | RENAE MUELLER |
Credential | PA-C |
Practice Address |
569 32 Rd Ste 12 Grand Junction CO 81504 |
Mailing Address |
300 S Nevada Ave Montrose CO 81401-4273 |
Practice Telephone | 9705233544 |
Practice Fax Number | 9704343422 |
Mailing Telephone | 9702497751 |
Mailing Fax Number | 9702495029 |
Enumeration Date | 2007-12-21 |
Last Update Date | 2018-06-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA0002974 | CO | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | PA10005322 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 95084517 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
275 S Aspen St, Stop 89, 460 Mdg/sgop, Buckley Afb, CO 800119562 | 7208479355 | 7208477480 |
Street Address |
569 32 RD STE 12 |
City | GRAND JUNCTION |
State | CO |
Zip Code | 81504 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942798947 | Tanja Rebekka Kinney | Nurse Practitioner | 569 32 Rd Ste 12, Grand Junction, CO 81504-6095 | 2018-04-25 |
1902328883 | Spencer Weiler | Family Medicine | 569 32 Rd Ste 12, Grand Junction, CO 81504-6095 | 2017-07-12 |
1093261984 | Autumn Dawn Rowland | Nurse Practitioner | 569 32 Rd Ste 12, Grand Junction, CO 81504-6095 | 2016-08-30 |
1437523305 | Alexander James Chaloux | Physician Assistant | 569 32 Rd Ste 12, Grand Junction, CO 81504-6095 | 2015-11-16 |
1336300615 | James Elliott Rice | Nurse Practitioner | 569 32 Rd Ste 12, Grand Junction, CO 81504-6095 | 2008-06-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699226936 | Ariel Kristine Rendt Padron | Counselor | 639 Long Peak Ct, Grand Junction, CO 81504 | 2016-10-21 |
1902197460 | Bereket Yebiyo | Pharmacist | 2992 F Rd., Grand Junction, CO 81504 | 2011-05-02 |
1689892069 | Mark Newhouse | Physical Therapist | 2777 Crossroads Blvd, Grand Junction, CO 81504 | 2007-04-23 |
1841414570 | Deborah Ann Didonato | Registered Nurse | 510 29 .5 Rd, Grand Junction, CO 81504 | 2007-04-12 |
1073634952 | Darilynn Sue Maddux | Technician | 510 29.5, Grand Junction, CO 81504 | 2007-04-02 |
1538289749 | Shirley Callaway | Registered Nurse | 510 29. 5 Road, Grand Junction, CO 81504 | 2007-03-30 |
1407891328 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 569 32 Rd, Grand Junction, CO 81504 | 2006-06-17 |
1275536146 | Mesa County Health Department | Registered Nurse | 510 29 1/2 Road, Grand Junction, CO 81504 | 2005-05-24 |
1104275882 | Marillac Clinic, Inc | Clinic/Center | 510 29 1/2 Rd, Grand Junction, CO 81504 | 2016-06-03 |
1255722054 | Margaret Lorraine Lehr | Nurse Practitioner | 3096 I-70 Business Loop, Suite D, Grand Junction, CO 81504 | 2015-02-16 |
Find all providers in zip 81504 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669086229 | Cassandra Corson | Physician Assistant | 212 Gunnison Ave Apt B, Grand Junction, CO 81501-2312 | 2020-09-01 |
1134772429 | Rosemary Alnora Rushton | Physician Assistant | 750 Wellington Ave # 3a, Grand Junction, CO 81501-6132 | 2019-07-17 |
1457864845 | Haley Shae Oberst | Physician Assistant | 604 25 Rd, Grand Junction, CO 81505 | 2017-11-08 |
1306365952 | Lauren Leanne Kaiser | Physician Assistant | 563 1/2 Garden Cress Ct, Grand Junction, CO 81501-6916 | 2017-09-14 |
1447598552 | Robert S Citkovic | Physician Assistant | 2021 North 12th Street, Grand Junction, CO 81501 | 2013-01-24 |
1396898169 | John E Miller | Physician Assistant | 2454 Hwy 6 and 50 Ste 104, Grand Junction, CO 81505-1117 | 2007-01-18 |
1972680585 | Jennie H Windscheffel | Physician Assistant | 2373 G Rd Ste 100, Grand Junction, CO 81505-1003 | 2006-11-01 |
1932164381 | Richard A Candelaria | Physician Assistant | 2020 N 12th St, Grand Junction, CO 81501-2914 | 2006-04-19 |
1982688057 | Bryan D Copas | Physician Assistant | 569 32 Rd, Unit 12, Mountain Peaks Urgent Care, Grand Junction, CO 81504-6095 | 2005-12-02 |
1164426102 | Tephi Ann Mannlein | Physician Assistant | 1120 Wellington Ave, Grand Junction, CO 81501-6129 | 2005-06-08 |
Find all providers in GRAND JUNCTION |
City | GRAND JUNCTION |
Zip Code | 81504 |
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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.