Individual provider Active NPI

Krista Deanne Newman, PAC

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1093847956
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
P0005632 Issued in CO
Practice address
7595 W Colfax Ave
Lakewood, CO 80214-5417
Phone
(303) 594-7830
NPI assigned
Mar 9, 2007
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X P0005632 CO Primary

Addresses

Primary practice location

7595 W Colfax Ave
Lakewood, CO 80214-5417

Mailing address

1107 Mary LN
Whiteville, NC 28472-2924
Phone (910) 654-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100929001478 NC Practitioner - Physician Assistant 2466578273 Reassigns benefits to 1 organization
I20200403002439 CO Practitioner - Physician Assistant 2466578273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Urgent Care PLLCGroup PAC ID 6002834645, 26 clinicians

Practice addresses (Care Compare)

17121 S Golden
C150
Golden, CO 80401-7301
Phone (720) 506-1332

18890 E Hampden Ave
Aurora, CO 80013-3504
Phone (303) 617-1604

4590 W 121St Ave
Broomfield, CO 80020-5666
Phone (303) 439-4544

7380 W 52ND Ave
Unit I
Arvada, CO 80002-3719
Phone (303) 463-5941

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P0005632COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
G&G Healthcare, PC Family Medicine CurrentSince Aug 24, 2010 Accepting new patients
Colorado Urgent Care PLLC CurrentSince Feb 13, 2020 Accepting new patients
Colorado Urgent Care PLLC CurrentSince Feb 13, 2020 Accepting new patients
Colorado Urgent Care PLLC PastSince Aug 2, 2020 Accepting new patients

Locations

18890 E Hampden Ave
Aurora, CO 80013
Phone (303) 617-1604

7595 W Colfax Ave
Lakewood, CO 80214
Phone (720) 602-4640

805 S Madison St
Whiteville, NC 28472
Phone (910) 316-4352

Interoperability endpoints

  • Direct secure messaging: khewett01@crhn.cernerdirect.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1093847956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MARY LN",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722924",
            "telephone_number": "910-654-2050",
            "fax_number": "910-654-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7595 W COLFAX AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802145417",
            "telephone_number": "303-594-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWMAN",
        "first_name": "KRISTA",
        "middle_name": "DEANNE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "P0005632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.