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COLLIN ANDREW VANDEMARK
NPI 1053114454
Student in an Organized Health Care Education/Training Program in Colorado Springs, CO

Active since March 31, 2025
2222 N NEVADA AVE STE 1, COLORADO SPRINGS, CO 80907(719) 776-5000 Get Directions Write a Review

NPPES record last updated: March 31, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Collin Andrew Vandemark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLIN ANDREW VANDEMARK (NPI 1053114454) is an individual student in an organized health care education/training program in Colorado Springs, Colorado and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1053114454
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCOLLIN ANDREW VANDEMARK
Location Address2222 N NEVADA AVE STE 1Colorado Springs, CO 80907-6794
Mailing Address4054 Brushy Creek RdSparks, GA 31647-4104 · (229) 834-2500
Phone(719) 776-5000
Sole ProprietorYes
Enumeration DateMarch 31, 2025
NPPES CertifiedMarch 31, 2025
✔ NPI 1053114454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2222 N NEVADA AVE STE 1, Colorado Springs, CO 80907
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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRA NICOLE AYER AGACNP- BC
Nurse Practitioner (Adult Health)
2222 N NEVADA AVE STE 1
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-5000
MADELINE GRACE BATCHELDER PA-C
Physician Assistant
2222 N NEVADA AVE STE 1
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-5333
GUILLAUME CACHOT DO
Student in an Organized Health Care Education/Training Program
2222 N NEVADA AVE STE 1
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-6040
DR. TRENTON MIKAL BRADBURY DO
Student in an Organized Health Care Education/Training Program
2222 N NEVADA AVE STE 1
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-5000
BINH HOANG
Anesthesiologist Assistant
2222 N NEVADA AVE STE 1
COLORADO SPRINGS, CO 80907
El Paso County (719) 716-5000
LISA MARIE GRUBER
Registered Nurse
2222 N NEVADA AVE STE 1
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-5000
JAMES A KORTUS MBA PHARMD
Pharmacist
2222 N NEVADA AVE STE 1
COLORADO SPRINGS, CO 80907
El Paso County (719) 776-5606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collin Vandemark's NPI number?

The NPI number for Collin Vandemark is 1053114454. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Collin Vandemark located?

Collin Vandemark practices at 2222 N Nevada Ave Ste 1, Colorado Springs, CO 80907. The listed phone number is (719) 776-5000.

What is Collin Vandemark's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Collin Vandemark was last updated on March 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.