Individual provider Active NPI

Carol A Oakleaf, PA

  • Physician Assistant
  • Thornton, CO
National Provider Identifier
1124340583
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
769 Issued in CO
Practice address
3814 E 120TH Ave
Thornton, CO 80233-1608
Phone
(303) 452-2046
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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 769 CO Primary

Addresses

Primary practice location

3814 E 120TH Ave
Thornton, CO 80233-1608

Mailing address

3814 E 120TH Ave
Thornton, CO 80233-1608
Phone (303) 452-2046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000787 CO Practitioner - Physician Assistant 3779612247 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians

Practice addresses (Care Compare)

11990 Grant St
Suite 101
Northglenn, CO 80233-1122
Phone (888) 374-5066

2860 S Circle Dr
Colorado Springs, CO 80906-4195
Phone (719) 540-2100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
769COMDIntellectual & Developmental Disabilities Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Urgent Care LLC Current Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 30, 2015 Accepting new patients
Family Care Center, LLC Physician Assistant CurrentSince Jan 17, 2023 Accepting new patients
Family Care Center, LLC CurrentSince Jan 17, 2023 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Mar 30, 2015 Accepting new patients

Locations

2801 Purcell St
Brighton, CO 80601
Phone (303) 558-0515

2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002

4859 Yampa St
Denver, CO 80249
Phone (303) 498-1885

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1124340583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 E 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331608",
            "telephone_number": "303-452-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 E 120TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802331608",
            "telephone_number": "303-452-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKLEAF",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.