Individual provider Active NPI

Patricia Jean Washko, PA-C

  • Medical Physician Assistant
  • Wheat Ridge, CO
National Provider Identifier
1174532980
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
695 Issued in CO
Practice address
83000 West 38TH Avenue
Wheatridge, CO 80033
Phone
(303) 425-8500
NPI assigned
Aug 8, 2006
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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 695 CO Primary

Addresses

Primary practice location

83000 West 38TH Avenue
Wheatridge, CO 80033

Mailing address

27443 Mountain Brook Dr
Conifer, CO 80433-6116
Phone (303) 838-6791

Other identifiers 1

IdentifierTypeStateIssuer
07006950MedicaidCO

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

LicenseStateTypeSpecialty
695COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Creek Family Practice PLLC Past Accepting new patients

Organizations & group practices 1

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": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1174532980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27443 MOUNTAIN BROOK DR",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804336116",
            "telephone_number": "303-838-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83000 WEST 38TH AVENUE",
            "city": "WHEATRIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "303-425-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHKO",
        "first_name": "PATRICIA",
        "middle_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07006950",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.