AMY DEITEMEYER


Address: 300 Colorado Ave, Pueblo, CO 81004-2006
Phone: 7195438718

AMY DEITEMEYER (NPI# 1942432760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942432760
Entity Type Individual
Full Name AMY DEITEMEYER
Credential PA-C
Practice Address 300 Colorado Ave
Pueblo
CO 81004-2006
Mailing Address 110 E Routt Ave
Pueblo
CO 81004-2117
Practice Telephone 7195438718
Practice Fax Number 7192968648
Mailing Telephone 7195438718
Mailing Fax Number 7195853042
Enumeration Date 2009-08-12
Last Update Date 2014-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 2814 CO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 78120519 05

Office Location

Street Address 300 COLORADO AVE
City PUEBLO
State CO
Zip Code 81004-2006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447245139 Brett L Hulet Obstetrics & Gynecology 300 Colorado Ave, Pueblo, CO 81004 2005-09-19
1487279659 Christi Lyn Bader Registered Nurse 300 Colorado Ave, Pueblo, CO 81004-2006 2020-06-12
1225678261 Jennifer Castro Nurse Practitioner 300 Colorado Ave, Pueblo, CO 81004-2006 2020-01-07
1497391643 Martin W Chrisman Nurse Practitioner 300 Colorado Ave, Pueblo, CO 81004-2006 2019-11-22
1700445467 Liberty Angel Ruiz Nurse Practitioner 300 Colorado Ave, Pueblo, CO 81004-2006 2019-06-06
1578121810 Samuel Joseph Taibi Physician Assistant 300 Colorado Ave, Pueblo, CO 81004-2006 2019-06-02
1386200442 Kenyada Gilbert Nurse Practitioner 300 Colorado Ave, Pueblo, CO 81004-2006 2019-05-14
1659935401 Christina M Wooters-eck Nurse Practitioner 300 Colorado Ave, Pueblo, CO 81004-2006 2019-04-26
1710449004 Theresa M Chavez Counselor 300 Colorado Ave, Pueblo, CO 81004-2006 2019-04-04
1194280701 Lindsey Brooke Smith Student in an Organized Health Care Education/Training Program 300 Colorado Ave, Pueblo, CO 81004-2006 2019-02-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780155929 Renee C Lane Nurse Practitioner 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 2018-12-16
1215406913 Kaiser Foundation Healthplan of Colorado Pharmacy 2625 W. Pueblo Blvd, Pueblo, CO 81004 2018-11-26
1053895532 Rebecka Ann Reatherford Nurse Practitioner St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 2018-09-20
1124510821 Angela M Sillas-green Counselor 327 Colorado Ave., Pueblo, CO 81004 2018-05-30
1558898569 Alexandra R B King Family Medicine Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 2017-05-22
1578098752 James Williams Counselor 414 Broadway Ave, Pueblo, CO 81004 2017-04-26
1740732601 Valerie A Senger Counselor 635 W Corona Ave Ste 214, Pueblo, CO 81004 2016-10-26
1194111500 A New Leaf Therapy, Pllc Community/Behavioral Health 327 Colorado Ave, Pueblo, CO 81004 2015-04-13
1619371671 Mariah Mcginnis Registered Nurse 1232 Van Buren St., Pueblo, CO 81004 2014-10-20
1730593112 Maritza Martinez Registered Nurse 1026 Wabriendo Ave, Pueblo, CO 81004 2014-06-13
Find all providers in zip 81004

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114527652 Li Ashley Lim Physician Assistant 132 W B St Apt 3k, Pueblo, CO 81003-3446 2020-10-26
1104366178 Alfe Garperio Physician Assistant 2625 W Pueblo Blvd, Pueblo, CO 81004-3816 2017-02-24
1871895995 A Theodore Smith Physician Assistant 1600 West 24th Street, Colorado Mental Health Institute At Pueblo, Pueblo, CO 81003 2010-11-22
1689793812 Paul Whitney Safford Physician Assistant 600 West 16th St, Pueblo, CO 81003 2007-03-28
1740347996 Jose Luis Ramirez Physician Assistant 45825 Highway 96 East, Pueblo, CO 81006 2007-01-03
1932217635 Juliana Schrettner Physician Assistant 1600 N Greenwood, 520, Pueblo, CO 81003 2006-08-25
1427046077 James L Kramer Physician Assistant 1008 Minnegua Ave, Emergency Room, Pueblo, CO 81004 2005-10-07
1306846381 Lucas R Derting Physician Assistant 1600 North Grand Avenue, Suite 500, Pueblo, CO 81003-2757 2005-07-29
1922001700 Stephen D Bast Physician Assistant 3676 Parker Blvd, Pueblo, CO 81008-2212 2005-05-24
1245863257 Anna Elizabeth Inserra Physician Assistant 1315 Fortino Blvd, Pueblo, CO 81008-1981 2020-02-18
Find all providers in PUEBLO

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City PUEBLO
Zip Code 81004

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Dataset Information

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.

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