Vanacker Family Care Clinic

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

VANACKER FAMILY CARE CLINIC

Practice address

2205 Forge Rd
Canon City, CO 81212-4150

Phone

(719) 371-0069

Fax

(719) 285-8339

NPI assigned

Feb 26, 2022

Last updated

Feb 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Lynn Vanacker, FNPNPI 1629670906

Title

Owner

Phone

(719) 371-0069

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Vanacker, APN

  • Family Nurse Practitioner
  • Parker, CO
  • NPI 1629670906
  NPD Authorized official

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

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645833600000",
    "number": "1326794496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 FORGE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124150",
            "telephone_number": "719-371-0069",
            "fax_number": "719-285-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 FORGE RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812124150",
            "telephone_number": "719-371-0069",
            "fax_number": "719-285-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANACKER FAMILY CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A",
        "authorized_official_last_name": "VANACKER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-371-0069",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Katherine Telck Vail, BS, CHN-I
• Valley View Care Center LLC
• Valley View Care Center LLC (Valley View Care Center)
• Valley-Wide Health Systems, Inc. (Valley-Wide Canon City)
• Valley-Wide Health Systems, Inc. (The Pulse School-Based Health Center)
• Anna Vancamp, PTA
• Vanguard Medical Specialists LLC
• Jennifer Marie Vanhove, LCSW
• Darrel Lee Vaniwarden, CRNA
• Anja Vera, PT

• Point of Service in Canon City, CO
• Providers in Canon City, CO by specialty
• Point of Service in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; 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.