Individual provider Active NPI

Laura Ann Venner, DPM

  • Foot & Ankle Surgery Podiatrist
  • Grand Junction, CO
National Provider Identifier
1578875845
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
724 Issued in CO
Practice address
2478 Patterson Rd
Unit 1
Grand Junction, CO 81505-3605
Phone
(970) 245-3338
Fax
(970) 245-9499
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 724 CO Primary

Addresses

Primary practice location

2478 Patterson Rd
Unit 1
Grand Junction, CO 81505-3605

Mailing address

2478 Patterson Rd
Unit1
Grand Junction, CO 81505-3605
Phone (970) 245-3338

Other names 1

  • Laura Ann Wetstine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
724COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1578875845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "UNIT1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053605",
            "telephone_number": "970-245-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2478 PATTERSON RD",
            "address_2": "UNIT 1",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815053605",
            "telephone_number": "970-245-3338",
            "fax_number": "970-245-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENNER",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-02",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WETSTINE",
            "middle_name": "ANN",
            "credential": "DPM",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.