Amanda Dvorak

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.0005942 Issued in CO

Practice address

2801 Purcell St
Brighton, CO 80601

Phone

(303) 659-9700

Fax

(303) 558-8222

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1831695634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PURCELL ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "806013551",
            "telephone_number": "303-659-9700",
            "fax_number": "303-558-8222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PURCELL ST",
            "city": "BRIGHTON",
            "state": "CO",
            "postal_code": "80601",
            "telephone_number": "303-659-9700",
            "fax_number": "303-558-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Warrenville Rd # 3280",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605151748",
            "country_code": "US",
            "telephone_number": "563-340-8466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Warrenville Rd # 3280",
            "address_purpose": "LOCATION",
            "city": "Downers Grove",
            "state": "IL",
            "postal_code": "605151748",
            "country_code": "US",
            "telephone_number": "563-340-8466",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0005942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ericka Cristina Duran, RDN
• Ashley Durham, MS, CCC-SLP
• Kerri Durland, PA-C
• Joseph William Dutmer, LCSW
• Alexandra Dvorak, M.A.
• Mac Dvorak
• Dawn M Dycus, M.D.
• Eagle Ridge Medical Inc (Harmony Womens Health Center)
• Eagle Ridge Medical Inc
• Dawn Dee Eatmon-Parker

• Medical Physician Assistant in Brighton, CO
• Providers in Brighton, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; 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.