Active NPI
Alyson J Weirich, PA-C
- Medical Physician Assistant
- Grand Junction, CO
National Provider Identifier
1811345473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0004457
- Practice address
- 607 25 Rd Ste 201
Grand Junction, CO 81505-1287 - Phone
- (970) 219-8569
- NPI assigned
- May 24, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0004457 | CO | Primary |
Addresses
Primary practice location
607 25 Rd Ste 201
Grand Junction, CO 81505-1287
Mailing address
PO Box 6
Molina, CO 81646-0006
Phone (970) 219-8569
Other practice location 1
2635 N 7th St
Grand Junction, CO 81501-8209
Phone (970) 298-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2020 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0004457 | CO | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631059200000",
"number": "1811345473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6",
"city": "MOLINA",
"state": "CO",
"postal_code": "816460006",
"telephone_number": "970-219-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 25 RD STE 201",
"city": "GRAND JUNCTION",
"state": "CO",
"postal_code": "815051287",
"telephone_number": "970-219-8569"
}
],
"practiceLocations": [
{
"address_1": "2635 N 7th St",
"address_purpose": "LOCATION",
"city": "Grand Junction",
"state": "CO",
"postal_code": "815018209",
"country_code": "US",
"telephone_number": "970-298-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEIRICH",
"first_name": "ALYSON",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-24",
"last_updated": "2021-09-08",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "0004457",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.