Active NPI
Thomas Evan West, MMS, PA-C
- Physician Assistant
- Fort Collins, CO
National Provider Identifier
1194357756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0006982
- Practice address
- 151 W Lake St
Fort Collins, CO 80524-4111 - Phone
- (970) 491-7121
- NPI assigned
- Feb 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0006982 | CO | Primary |
Addresses
Primary practice location
151 W Lake St
Fort Collins, CO 80524-4111
Mailing address
151 W Lake St
Fort Collins, CO 80524-4111
Phone (970) 491-7121
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0006982 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado State University | 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 and National Provider Directory roles.
-
- Clinic/Center
- Fort Collins, CO
- NPI 1528156437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753315200000",
"number": "1194357756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 W LAKE ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244111",
"telephone_number": "970-491-7121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W LAKE ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805244111",
"telephone_number": "970-491-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "THOMAS",
"middle_name": "EVAN",
"name_prefix": "Mr.",
"credential": "MMS, PA-C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-02-11",
"last_updated": "2025-07-24",
"certification_date": "2025-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0006982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.