Priscilla J. Virant, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

149 Issued in CO

Practice address

1106 E Prospect Rd
Suite 100
Fort Collins, CO 80525-5304

Phone

(970) 495-7410

Fax

(970) 495-7425

NPI assigned

Oct 6, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Internal Medicine Clinic Inc.

  • Clinical Medical Laboratory
  • Fort Collins, CO
  • NPI 1013934892
  NPD (past)
• Value in Prevention of Colorado PLLC

  • Internal Medicine Physician
  • Fort Collins, CO
  • NPI 1356863245
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1124353370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 E PROSPECT RD",
            "address_2": "SUITE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255304",
            "telephone_number": "970-495-7410",
            "fax_number": "970-495-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 E PROSPECT RD",
            "address_2": "SUITE 100",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805255304",
            "telephone_number": "970-495-7410",
            "fax_number": "970-495-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIRANT",
        "first_name": "PRISCILLA",
        "middle_name": "J.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-06",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33522316",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deeann G Vink, PT
• Vinna C. Norris, D.D.S., P.C.
• Clayton Vinson, LCSW
• Lindsay Miller Vinton
• Kaitlin Jane Viola, PA
• Virginia Vision Care Assoc., L.L.C.
• Amelia Elissa Virostko, MD
• Nikita T. Vischer, MD
• Vision Eyeland Super Optical LLC
• Vision Performance Center of Fort Collins, LLC

• Physician Assistant in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.