BETH PACK (NPI# 1669401261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669401261 |
| Entity Type | Individual |
| Full Name | BETH PACK |
| Credential | PA |
| Practice Address |
550 W Hwy 50 Salida CO 81201-2238 |
| Mailing Address |
Po Box 429 Salida CO 81201-0429 |
| Practice Telephone | 7195392048 |
| Practice Fax Number | 7195392055 |
| Mailing Telephone | 7195302000 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2019-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-2578 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 2953 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
550 W HWY 50 |
| City | SALIDA |
| State | CO |
| Zip Code | 81201-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588650824 | James L Bruffy | Urology | 550 W Hwy 50, Salida, CO 81201-2238 | 2005-09-22 |
| 1275156077 | West Central Mental Health Center, Inc. | Community/Behavioral Health | 550 W Hwy 50, Salida, CO 81201-2238 | 2020-05-27 |
| 1942834072 | West Central Mental Health Center, Inc | Clinic/Center | 550 W Hwy 50, Salida, CO 81201-2238 | 2020-02-27 |
| 1326567363 | Jill Flodstrom | Counselor | 550 W Hwy 50, Salida, CO 81201 | 2017-09-11 |
| 1861736936 | Julia Bartel | Speech-Language Pathologist | 550 W Hwy 50, Salida, CO 81201-2238 | 2012-11-15 |
| 1821375700 | Brady L Ternes | Specialist/Technologist | 550 W Hwy 50, Salida, CO 81201-2238 | 2011-11-07 |
| 1891083606 | Danial Paul Evans | Specialist/Technologist | 550 W Hwy 50, Salida, CO 81201-2238 | 2011-07-13 |
| 1558506477 | V. Michael Barkett, Professional Corp | Surgery | 550 W Hwy 50, Salida, CO 81201-2238 | 2008-12-05 |
| 1326229527 | Southern Colorado Urology | Urology | 550 W Hwy 50, Salida, CO 81201-2238 | 2007-11-16 |
| 1275737835 | Amy Elizabeth Ellis | Psychiatry & Neurology | 550 W Hwy 50, Salida, CO 81201-2238 | 2007-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699395418 | Helgrit P Howard | Massage Therapist | Myoarts Therapeutic Massage and Bodyworks, 7405 West Hwy 50, Salida, CO 81201 | 2020-04-22 |
| 1922628742 | Tad Howard | Massage Therapist | 7405 West Hwy 50. Myoarts Therapeutic Message and Body, Salida, CO 81201 | 2020-04-22 |
| 1740821289 | Ljcc Services, LLC | Durable Medical Equipment & Medical Supplies | 137 F Street, Salida, CO 81201 | 2019-10-07 |
| 1215451539 | Julie Zavage | Counselor | 111 Vesta Rd., Salida, CO 81201 | 2017-07-28 |
| 1417488776 | Cynthia Love Pursell | Pharmacist | 910 Rush Drive, Salida, CO 81201 | 2017-03-27 |
| 1215487517 | Melissa Hollan | Massage Therapist | 130 W 2nd Street, Suite 5, Salida, CO 81201 | 2016-10-11 |
| 1114371408 | Jamie Allen Baker | Specialist/Technologist | 1215 D. St., Salida, CO 81201 | 2016-04-22 |
| 1386920692 | Emily Anderson | Registered Nurse | 448 East 1st Street, Salida, CO 81201 | 2011-11-01 |
| 1316248529 | Thomas Michael Deyton | Physical Therapist | 305 G Street, Salida, CO 81201 | 2010-11-04 |
| 1598089518 | Iris Jeanette Diaz Cassidy | Massage Therapist | 1548 G Street, #8 La Placita, Salida, CO 81201 | 2010-03-19 |
| Find all providers in zip 81201 | ||||
| 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 |
|---|---|---|---|---|
| 1760046742 | Bailey Frisch | Physician Assistant | 248 E 1st St, Salida, CO 81201-2113 | 2019-04-25 |
| 1447709829 | Jamie Vollmerhausen | Physician Assistant | 910 Rush Dr, Salida, CO 81201-9665 | 2016-09-27 |
| 1427112499 | Karli Dimino | Physician Assistant | 550 W Hwy 50, Salida, CO 81201-2238 | 2006-12-21 |
| 1205802766 | Carol P Johnson | Physician Assistant | 1000 Rush Dr, Salida, CO 81201-9627 | 2006-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871518 | Emily Tracy | Physician Assistant | 172 Siesta Cir, Evergreen, CO 80439-4339 | 2020-11-05 |
| 1285234914 | Austin Ethridge | Physician Assistant | 22101 County Road 22, Hudson, CO 80642-9514 | 2020-10-30 |
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1386244895 | Cheyenne M Zurfluh | Physician Assistant | 1301 Lory St, Fort Collins, CO 80524-4213 | 2020-10-26 |
| 1043819576 | Patrick Ryan Murphy | Physician Assistant | 1160 Sandstone Dr, Vail, CO 81657-4408 | 2020-10-26 |
| 1114527652 | Li Ashley Lim | Physician Assistant | 132 W B St Apt 3k, Pueblo, CO 81003-3446 | 2020-10-26 |
| 1477152957 | Erin Lynn Hellerstedt | Physician Assistant | 766 S Martin St Apt C222, Longmont, CO 80501-6493 | 2020-10-26 |
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1750980298 | Rachel Wolfe | Physician Assistant | 38 Qualla Ct, Boulder, CO 80303-3900 | 2020-10-24 |
| 1255930897 | Lee Finley-blasi | Physician Assistant | 841 Atwood St, Longmont, CO 80501-5020 | 2020-10-24 |
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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.