Active NPI
Paula Michelle Homberger, PA-C
- Physician Assistant
- Colorado Springs, CO
National Provider Identifier
1053517805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1695
- Practice address
- 1495 Garden of the Gods Rd
Suite 102
Colorado Springs, CO 80907-9441 - Phone
- (719) 260-9797
- Fax
- (719) 260-9799
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1695 | CO | Primary |
Addresses
Primary practice location
1495 Garden of the Gods Rd
Suite 102
Colorado Springs, CO 80907-9441
Mailing address
1230 Becky Dr
Colorado Springs, CO 80921-2207
Phone (719) 559-2305
Other names 1
- Paula Michelle Calendine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1695 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1053517805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 BECKY DR",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809212207",
"telephone_number": "719-559-2305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1495 GARDEN OF THE GODS RD",
"address_2": "SUITE 102",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809079441",
"telephone_number": "719-260-9797",
"fax_number": "719-260-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMBERGER",
"first_name": "PAULA",
"middle_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1695",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAULA",
"last_name": "CALENDINE",
"middle_name": "MICHELLE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.