Yvonne Laura Whitt, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

002152 Issued in CT

Practice address

1721 E 19TH Ave
Suite 434
Denver, CO 80218-1243

Phone

(303) 865-7800

Fax

(303) 865-7804

NPI assigned

Sep 11, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Centeno-Schultz, Inc

  • Interventional Pain Medicine Physician
  • Broomfield, CO
  • NPI 1003864398

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288051200000",
    "number": "1922257286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S. COLORADO BLVD",
            "address_2": "SUITE 220A",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461912",
            "telephone_number": "303-865-7800",
            "fax_number": "303-865-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E 19TH AVE",
            "address_2": "SUITE 434",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181243",
            "telephone_number": "303-865-7800",
            "fax_number": "303-865-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITT",
        "first_name": "YVONNE",
        "middle_name": "LAURA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2010-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "002152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "002152",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO LICENSE",
            "identifier": "PA1932",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loreta Whitney
• Marissa Whitney
• Michael Albert Whitney
• Shelly L Whitney, LCSW
• Kathleen M Whitsel, RN-BSN
• Rachel Whittaker
• Rebecca Ann Whittaker, CNM
• Paula S Whittemore
• Caitlin Whitten
• Eric J Whittier, DO

• Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.