Active NPI
Rachael Passafaro
- Medical Physician Assistant
- Golden, CO
National Provider Identifier
1073986980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA.0004546
- Practice address
- 755 Heritage Rd
Suite 100
Golden, CO 80401-3600 - Phone
- (303) 277-0700
- Fax
- (303) 277-0714
- NPI assigned
- Nov 2, 2015
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.0004546 | CO | Primary |
Addresses
Primary practice location
755 Heritage Rd
Suite 100
Golden, CO 80401-3600
Mailing address
1801 N Pennsylvania St
Apt 303
Denver, CO 80203-1396
Phone (703) 408-1486
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003172003A | Medicaid | GA | |
| 016102900 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- rachael.passafarro.1@18308.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1073986980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 N PENNSYLVANIA ST",
"address_2": "APT 303",
"city": "DENVER",
"state": "CO",
"postal_code": "802031396",
"telephone_number": "703-408-1486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 HERITAGE RD",
"address_2": "SUITE 100",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804013600",
"telephone_number": "303-277-0700",
"fax_number": "303-277-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSAFARO",
"first_name": "RACHAEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-02",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "PA.0004546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003172003A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016102900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.