ELIZABETH FAN (NPI# 1992197974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992197974 |
| Entity Type | Individual |
| Full Name | ELIZABETH FAN |
| Credential | MS, PA-C |
| Practice Address |
1400 Jackson St Denver CO 80206-2761 |
| Practice Telephone | 3033984461 |
| Practice Fax Number | 3032702206 |
| Mailing Telephone | 3033984461 |
| Mailing Fax Number | 3032702167 |
| Enumeration Date | 2015-02-27 |
| Last Update Date | 2020-08-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA.0004030 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 28759311 | 05 | |
| CO | MEDICARE PTAN | 404481YLSH | 01 |
| CO | 1992197974 | 05 |
| Street Address |
1400 JACKSON ST |
| City | DENVER |
| State | CO |
| Zip Code | 80206-2761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760485023 | Robert J Lapidus | Internal Medicine | 1400 Jackson St, Denver, CO 80206-2761 | 2005-05-31 |
| 1801493911 | National Jewish Health | Clinic/Center | 1400 Jackson St, Denver, CO 80206-2761 | 2020-10-02 |
| 1881203438 | Rachel Amanda Alvidrez | Nurse Practitioner | 1400 Jackson St, Denver, CO 80206-2762 | 2020-07-29 |
| 1760013387 | Kelsey Elizabeth Heil | Nurse Practitioner | 1400 Jackson St, Denver, CO 80206-2762 | 2020-02-01 |
| 1881246015 | Jenna L Milliron | Nurse Practitioner | 1400 Jackson St, Denver, CO 80206-2761 | 2019-07-09 |
| 1750849113 | Veronica K Niedzinski | Dietitian, Registered | 1400 Jackson St, Denver, CO 80206-2762 | 2019-03-05 |
| 1184117400 | Rachel Decosta | Nurse Practitioner | 1400 Jackson St, Denver, CO 80206 | 2018-06-12 |
| 1790289122 | Vijaya Knight | Specialist | 1400 Jackson St, Denver, CO 80206-2761 | 2018-03-20 |
| 1952804262 | Vera Louise Pillitteri | Nurse Practitioner | 1400 Jackson St, Denver, CO 80206-2761 | 2018-03-13 |
| 1639687643 | Michelle Macdonald | Registered Nurse | 1400 Jackson St, Denver, CO 80206-2761 | 2018-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609495373 | Mindy Lieberman | Behavior Technician | 1151 Monroe St. #2, Denver, CO 80206 | 2020-04-13 |
| 1356992879 | Danielle Higgins | Counselor | 3003 E 3rd Ave # B-106, Denver, CO 80206 | 2019-09-25 |
| 1396224788 | Neuro Interpretive Services LLC | Clinic/Center | 700 Colorado Blvd Ste 668, Denver, CO 80206 | 2018-08-07 |
| 1578072252 | Ashleigh Rankin | Social Worker | 1890 Gaylord Street, Denver, CO 80206 | 2017-09-25 |
| 1407379092 | Todd C. Ognibene | Psychologist | 1544 York Street, Third Floor, Denver, CO 80206 | 2017-07-25 |
| 1104363811 | Zhanna Bayerman | In Home Supportive Care | 3222 E. 1st Ave, # 725, Denver, CO 80206 | 2017-01-20 |
| 1467995340 | Julie Huff | Massage Therapist | 155 Cook, 351, Denver, CO 80206 | 2016-11-28 |
| 1457807778 | Amrita Singh Comer | Nursing Care | 2111 Champa Street, Denver, CO 80206 | 2016-08-28 |
| 1245683952 | Emily Rose Popiel | Psychologist | 3107 East Colfax Avenue, Denver, CO 80206 | 2016-07-18 |
| 1689036998 | Emma Jean Maki-gianani | Counselor | 2925 E. Colfax, Denver, CO 80206 | 2016-03-25 |
| Find all providers in zip 80206 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962001438 | Brian Andrew Kacvinsky | Physician Assistant | 1333 E 17th Ave, Denver, CO 80218-1526 | 2020-10-25 |
| 1346849957 | Brittany Elizabeth Driscoll | Physician Assistant | 3056 S Grape Way, Denver, CO 80222-6810 | 2020-10-23 |
| 1912506528 | Christina Walley | Physician Assistant | 1111 Ash St Apt 701, Denver, CO 80220-3758 | 2020-10-23 |
| 1184223794 | Mckenzie Grace | Physician Assistant | 50 N Clarkson St Apt 205, Denver, CO 80218-3739 | 2020-10-23 |
| 1679183909 | Skye Smock | Physician Assistant | 3704 Dexter St, Denver, CO 80207-1045 | 2020-08-02 |
| 1558982397 | Aubrey Leigh Griffiths | Physician Assistant | 2890 Brighton Blvd Unit 347, Denver, CO 80216-5057 | 2020-05-04 |
| 1629616438 | Danielle Lacy | Physician Assistant | 5033 Tucson Way, Denver, CO 80239-4339 | 2019-12-12 |
| 1811531189 | Valerie C Sarni | Physician Assistant | 5974 Central Park Blvd, Denver, CO 80238-3993 | 2019-10-30 |
| 1578105615 | Mackenzie Dwyer | Physician Assistant | 295 E Speer Blvd Apt 339, Denver, CO 80203-3562 | 2019-10-10 |
| 1871149831 | Miles Saenger | Physician Assistant | 6127 S Hwy 16, Denver, NC 28037-9220 | 2019-08-15 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.