Active NPI
Natalie Christine Penn, M.D.
- Pediatrics Physician
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0059103
- Practice address
- 2650 18TH St
Ste 100
Denver, CO 80211 - Phone
- (720) 583-4470
- Fax
- (888) 463-5887
- NPI assigned
- May 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DR.0059103 | CO | Primary |
| Pediatrics Physician | 208000000X | A176042 | CA |
Addresses
Primary practice location
2650 18TH St
Ste 100
Denver, CO 80211
Mailing address
2650 18TH St
Ste 100
Denver, CO 80211
Phone (720) 583-4470
Other practice location 1
4815 Watt Ave
North Highlands, CA 95660-5108
Phone (916) 454-2345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A176042 | CA | MD | Pediatrics Physician |
| DR.0059103 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peach Tree Healthcare | Pediatrics | Current | Accepting new patients |
| St Vincent Hospital | Current | Accepting new patients | |
| Peach Tree Healthcare | Current | Accepting new patients | |
| St. Vincent Hospital | Current | Accepting new patients | |
| St. Vincent Hospital | Current | Accepting new patients | |
| Highlands Integrative Pediatics, PC | Pediatrics | Past | Accepting new patients |
Locations
9980 Live Oak Blvd
Live Oak, CA 95953
Phone (503) 749-3242
1114 Yuba St
Ste 220
Marysville, CA 95901
Phone (240) 816-4358
5730 Packard Ave
Ste 500
Marysville, CA 95901
Phone (530) 399-0217
3810 Rosin Ct
Ste 100
Sacramento, CA 95834
Phone (530) 413-9627
1275 Tharp Rd
Yuba City, CA 95993
465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901
455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- natalie.penn.p1@direct.peachtreehealth.nextgenshare.com
Organizations & group practices 7
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.
-
dba Peach Tree Clinic
- Federally Qualified Health Center (FQHC)
- Marysville, CA
- NPI 1003863622
Pediatrics
-
dba CHRISTUS St. Vincent Pediatrics
- Pediatrics Physician
- Santa Fe, NM
- NPI 1063367803
-
dba Peach Tree North Sacramento II
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1245043413
-
dba CHRISTUS St. Vincent Regional Medical Center
- General Acute Care Hospital
- Santa Fe, NM
- NPI 1578587150
-
dba CHRISTUS St. Vincent Adult and Family Care
- Family Medicine Physician
- Santa Fe, NM
- NPI 1245438647
-
dba Santa Fe Brain & Spine Associates
- Neurological Surgery Physician
- Santa Fe, NM
- NPI 1841477437
-
- Pediatrics Physician
- Denver, CO
- NPI 1205188794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1073924130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2650 18TH ST",
"address_2": "STE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "80211",
"telephone_number": "720-583-4470",
"fax_number": "888-463-5887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 18TH ST",
"address_2": "STE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "80211",
"telephone_number": "720-583-4470",
"fax_number": "888-463-5887"
}
],
"practiceLocations": [
{
"address_1": "4815 Watt Ave",
"address_purpose": "LOCATION",
"city": "North Highlands",
"state": "CA",
"postal_code": "956605108",
"country_code": "US",
"telephone_number": "916-454-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENN",
"first_name": "NATALIE",
"middle_name": "CHRISTINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-12",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0059103",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A176042",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.