NPIMap

Individual provider Active NPI

Katie Elizabeth Vieira, PA-C

  • Physician Assistant
  • Lafayette, CO
National Provider Identifier
1114471562
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0005919 Issued in CO
Practice address
1000 W South Boulder Rd Ste 200
Lafayette, CO 80026-2088
Phone
(303) 604-5000
NPI assigned
Aug 14, 2016
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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 0005919 CO Primary

Addresses

Primary practice location

1000 W South Boulder Rd Ste 200
Lafayette, CO 80026-2088

Mailing address

382 S Arthur Ave
Louisville, CO 80027-3094
Phone (303) 604-5000

Other identifiers 1

IdentifierTypeStateIssuer
9000175892MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190906001478 CO Practitioner - Physician Assistant 5890076293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 W S Boulder Rd
Suite 200
Lafayette, CO 80026-2088
Phone (303) 604-5000

1830 N Franklin St
Denver, CO 80218-1128
Phone (303) 604-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0005919COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Valley Gastroenterology Inc. CurrentSince Sep 1, 2019 Accepting new patients
Boulder Valley Gastroenterology Inc. CurrentSince Sep 1, 2019 Accepting new patients
Boulder Valley Gastroenterology Inc. Past Accepting new patients
Portner Orthopedic Rehabilitation Incorporated PastSince Sep 8, 2024 Accepting new patients
Boulder Valley Gastroenterology Inc. Past Accepting new patients

Locations

1755 48th St
Ste 100
Boulder, CO 80301
Phone (720) 932-7714

16677 Lowell Blvd
Ste 200
Broomfield, CO 80023

1830 N Franklin St
Ste 220
Denver, CO 80218

1960 N Ogden St
Ste 210
Denver, CO 80218
Phone (303) 832-9277

1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (720) 932-7719

13952 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 271-1112

1551 Professional Ln
Unit 290
Longmont, CO 80501

382 S Arthur Ave
Louisville, CO 80027

382 S Arthur Ave
Unit 100
Louisville, CO 80027

11900 Grant St
Ste 360
Northglenn, CO 80233
Phone (817) 306-5630

Interoperability endpoints

  • Direct secure messaging: k.murphy@gastrorockies.directbygreenway.com

Organizations & group practices 5

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.

Hospital & facility affiliations 36

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1471132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1114471562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ARTHUR AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273094",
            "telephone_number": "303-604-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH BOULDER RD STE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262088",
            "telephone_number": "303-604-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEIRA",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-14",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0005919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000175892",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.