Individual provider Active NPI

Beth Rae Garcia, PA-C

  • Medical Physician Assistant
  • Greenwood Village, CO
National Provider Identifier
1083657092
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1326 Issued in CO
Practice address
6455 S Yosemite St FL 6
Greenwood Village, CO 80111
Phone
(719) 659-1167
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1326 CO Primary

Addresses

Primary practice location

6455 S Yosemite St FL 6
Greenwood Village, CO 80111

Mailing address

13811 Bandanero Dr
Peyton, CO 80831-3804
Phone (719) 659-1167

Other practice location 1

5410 Powers Center Pt
Suite 230
Colorado Springs, CO 80920-7146
Phone (719) 282-6100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1768MAMDMarriage & Family Therapist
1326COMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1083657092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13811 BANDANERO DR",
            "city": "PEYTON",
            "state": "CO",
            "postal_code": "808313804",
            "telephone_number": "719-659-1167",
            "fax_number": "877-570-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 S YOSEMITE ST FL 6",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "80111",
            "telephone_number": "719-659-1167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5410 Powers Center Pt",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207146",
            "country_code": "US",
            "telephone_number": "719-282-6100",
            "fax_number": "719-282-6106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "BETH",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "1326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

Verify at the official NPI Registry.