Patti Jo Irene Demotts, NP

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

3782-033 Issued in WI

Practice address

559 Vincent St
21St Medical Group
Colorado Springs, CO 80914-1541

Phone

(719) 556-1197

NPI assigned

Sep 16, 2009

Last updated

Mar 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1558694935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 LANGLEY ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809165249",
            "telephone_number": "571-484-0057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "21ST MEDICAL GROUP",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809141541",
            "telephone_number": "719-556-1197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMOTTS",
        "first_name": "PATTI JO",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WI",
            "license": "3782-033",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "WI",
            "license": "129992-030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dereje Habte Dembelo
• Nicholas Demeo, D.M.D.
• Livia Demopoulos
• Heather Demorizi
• Samatha E Demott, OTR
• Miranda Dempewolf
• Jasmine Dempsey
• Michael Dempsey, DPT
• Patrick J Demuth, MD
• William Lee Denam Jr., DO

• Pediatric Registered Nurse in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pediatric Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.