CREED OTT (NPI# 1720646292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720646292 |
| Entity Type | Individual |
| Full Name | CREED OTT |
| Credential | MD |
| Practice Address |
2698 Patterson Road Grand Junction CO 81506 |
| Practice Telephone | 9702982800 |
| Mailing Telephone | 9702982800 |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | TL0007508 | CO | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
2698 PATTERSON ROAD |
| City | GRAND JUNCTION |
| State | CO |
| Zip Code | 81506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235797713 | Tiffany Smith | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1376101840 | Anastasia Nast | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1336707819 | Kellum Schneider | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1053979534 | Kelsey Walsdorf | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1962060442 | Kaitlin Tennyson | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1780242263 | Tirzah Wethern | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1366000846 | Quinn Rufsvold | Student in an Organized Health Care Education/Training Program | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| 1295393767 | Rachel Gollub | Family Medicine | 2698 Patterson Road, Grand Junction, CO 81506 | 2019-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1568948776 | Lakeside Psychological Services, LLC | Clinic/Center | 3154 Lakeside Dr Apt 103, Grand Junction, CO 81506 | 2018-07-11 |
| 1700389095 | Catherine Martha Plough | Registered Nurse | 2754 Compass Drive, Suite 377, Grand Junction, CO 81506 | 2018-03-13 |
| 1114445657 | Katrina Nicol Metcalf | Nurse Practitioner | 2643 Patterson Road Suite 605, Grand Junction, CO 81506 | 2017-09-05 |
| 1346760642 | Christopher Lewis Hoef II | Licensed Practical Nurse | 3031 N 14th St, Grand Junction, CO 81506 | 2017-06-27 |
| 1477928976 | Welbrook Senior Living Grand Junction LLC | Skilled Nursing Facility | 2596 Patterson Rd., Grand Junction, CO 81506 | 2015-12-09 |
| 1073902284 | Brett Adams | Audiologist-Hearing Aid Fitter | 2643 Patterson Rd Ste 503, Grand Junction, CO 81506 | 2015-01-12 |
| 1942625116 | Pamela W Kreps | Hearing Instrument Specialist | 759 Horizon Dr Ste E, Grand Junction, CO 81506 | 2014-02-25 |
| 1962779249 | Premere Rehab LLC | Occupational Therapist | 625 271/2 Road, Grand Junction, CO 81506 | 2011-11-30 |
| 1811207137 | Brenda Marie Watson | Counselor | 669 Jubilee Ct, Grand Junciton, CO 81506 | 2010-10-20 |
| Find all providers in zip 81506 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568079283 | Jessica Adele Page | Student in an Organized Health Care Education/Training Program | 420 Broken Arrow Dr Unit A, Grand Junction, CO 81504-7635 | 2020-09-27 |
| 1679189831 | Mita White | Student in an Organized Health Care Education/Training Program | 2413 Brandys Ct, Grand Junction, CO 81507-1631 | 2020-09-22 |
| 1578177119 | Callen Marie Young | Student in an Organized Health Care Education/Training Program | 4 Merlot Ct, Grand Junction, CO 81507-1246 | 2020-09-01 |
| 1699389262 | Blythe Crow | Student in an Organized Health Care Education/Training Program | 551 Grand Ave Ste 304, Grand Junction, CO 81501-2694 | 2020-09-01 |
| 1255945895 | Emyleigh Opat | Student in an Organized Health Care Education/Training Program | 345 W Kennedy Ave Apt 12, Grand Junction, CO 81505-7192 | 2020-09-01 |
| 1245843085 | Brenna Ann Sanislo | Student in an Organized Health Care Education/Training Program | 3230 Beechwood St, Grand Junction, CO 81506-4833 | 2020-08-30 |
| 1134732076 | Keelin R Schaffrath | Student in an Organized Health Care Education/Training Program | 2753 Unaweep Ave, Grand Junction, CO 81503-2091 | 2020-08-29 |
| 1548873730 | Danielle Storm Pelletier | Student in an Organized Health Care Education/Training Program | 2237 N 20th St, Grand Junction, CO 81501-6707 | 2020-08-26 |
| 1235759820 | Dana Patton | Student in an Organized Health Care Education/Training Program | St. Mary's Family Medicine Center, 2698 Patterson Road, Grand Junction, CO 81506 | 2020-04-23 |
| 1336797117 | Tiffany Dawn Petersen | Student in an Organized Health Care Education/Training Program | 2006 N 13th St, Grand Junction, CO 81501-8504 | 2019-08-26 |
| Find all providers in GRAND JUNCTION | ||||
| City | GRAND JUNCTION |
| Zip Code | 81506 |
Please comment or provide details below to improve the information on CREED OTT.
| 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.