Active NPI
Erin Lea Keefer, PAC
- Medical Physician Assistant
- Longmont, CO
National Provider Identifier
1083632012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1449
- Practice address
- 1351 Collyer St
Longmont, CO 80501-3310 - Phone
- (303) 776-7117
- Fax
- (888) 863-4354
- NPI assigned
- Jul 17, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA-796 | ME | |
| Medical Physician Assistant | 363AM0700X | 1449 | CO | Primary |
Addresses
Primary practice location
1351 Collyer St
Longmont, CO 80501-3310
Mailing address
1351 Collyer St
Longmont, CO 80501-3310
Phone (303) 776-7117
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA-796 | ME | MD | Physician Assistant |
| 1449 | CO | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425600000000",
"number": "1083632012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1351 COLLYER ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013310",
"telephone_number": "303-776-7117",
"fax_number": "888-863-4354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1351 COLLYER ST",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805013310",
"telephone_number": "303-776-7117",
"fax_number": "888-863-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEFER",
"first_name": "ERIN",
"middle_name": "LEA",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2015-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "ME",
"license": "PA-796",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "1449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.