Patrick Edwin Vandiver, QBHA PRC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

6860 S Yosemite CT Ste 2000
Centennial, CO 80112-1448

Phone

(720) 580-2696

NPI assigned

Oct 19, 2026

Last updated

Oct 19, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1792368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792368000000",
    "number": "1295631752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3718 S TRUCKEE WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800133456",
            "telephone_number": "303-304-2839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 S YOSEMITE CT STE 2000",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121448",
            "telephone_number": "720-580-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDIVER",
        "first_name": "PATRICK",
        "middle_name": "EDWIN",
        "name_prefix": "Mr.",
        "credential": "QBHA PRC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-10-19",
        "last_updated": "2026-10-19",
        "certification_date": "2026-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Van Zytveld, PT, DPT
• Krista Marie Vanallen, LPCC
• Danny Nguyen Vandan, O.D.
• Troy Vanden Broeke, L.P.C.
• Kendra Vander Wal, OTR/L
• Barbara Vanhorn, AU.D.
• Peter Alan Vanicek, D.D.S.
• Emily Vanmeter, M.S. CF-SLP
• Melissa Vannorman, MT 0011975
• Annette Vanvleet, LCSW

• Peer Specialist in Centennial, CO
• Providers in Centennial, CO by specialty
• Peer Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2026; 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.