Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Timothy Vanderweide, CRNA

Individual provider Registered Nurse · NPI 1023482072

Timothy Vanderweide, CRNA is a Registered Nurse in Scott City, Kansas. Licensed in Kansas. Registered with an NPI since 2015.

Licensed in
KS
In the registry since
2015
Specialties on file
2
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

See every abbreviation used in this directory →

Practice location Address checks out

201 Albert Ave
Scott City, KS 67871
Phone: (620) 872-5811
Fax: (620) 872-3660
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 557379 (KS)
Registered Nurse Taxonomy 163W00000X · Licence 13-112281-051 (KS)

Record details

NPI number1023482072
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 13, 2015
Last updated in NPPESDecember 28, 2017
Mailing address201 Albert Ave, Scott City, KS 67871

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