NPIMap

Individual provider Active NPI

Tara Adams, MSPAS, PA-C

  • Surgical Physician Assistant
  • Boulder, CO
National Provider Identifier
1013674621
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.0007078 Issued in CO
Practice address
4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128
Phone
(303) 938-5700
Fax
(303) 998-0007
NPI assigned
Nov 18, 2021
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.0007078 CO Primary
Physician Assistant 363A00000X 0007078 CO

Addresses

Primary practice location

4743 Arapahoe Ave Ste 202
Boulder, CO 80303-1128

Mailing address

2749 Walnut St Apt 419
Denver, CO 80205-2078
Phone (610) 295-9054

Other practice location 1

2030 Mountain View Ave Ste 210
Longmont, CO 80501-3180
Phone (303) 485-3560

Other practice location 2

2749 Walnut St Apt 419
Denver, CO 80205-2078
Phone (610) 295-9054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220104002456 CO Practitioner - Physician Assistant 0143611954 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

2030 Mountain View Ave
Suite 210
Longmont, CO 80501-3180
Phone (720) 652-8930

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0007078COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives Colorado CurrentSince Feb 2, 2026 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Feb 2, 2026 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

2030 Mountain View Ave
Ste 210
Longmont, CO 80501
Phone (303) 684-1900

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

Organizations & group practices 6

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

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1013674621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2749 WALNUT ST APT 419",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802052078",
            "telephone_number": "610-295-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE STE 202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031128",
            "telephone_number": "303-938-5700",
            "fax_number": "303-998-0007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2030 Mountain View Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805013180",
            "country_code": "US",
            "telephone_number": "303-485-3560",
            "fax_number": "303-485-3561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2749 Walnut St Apt 419",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802052078",
            "country_code": "US",
            "telephone_number": "610-295-9054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TARA",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "PA.0007078",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0007078",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.