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

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