Individual provider Active NPI

Myra Louise Pauley, APRN BC

  • Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1215926787
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
162875 Issued in CO
Practice address
2600 S Parker Rd
#3-336
Aurora, CO 80014-1613
Phone
(303) 750-0245
Fax
(303) 337-0271
NPI assigned
Oct 18, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 162875 CO Primary

Addresses

Primary practice location

2600 S Parker Rd
#3-336
Aurora, CO 80014-1613

Mailing address

5581 S Biloxi Way
Aurora, CO 80016-5854
Phone (303) 750-2082

Other identifiers 2

IdentifierTypeStateIssuer
04009759MedicaidCO
RXRN04092OtherCOCOLORADO BOARD OF NURSING

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
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
162875COMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth D Krause MD PC PastSince Mar 1, 2014 Accepting new patients
Colorado West Regional Mental Health, Inc. Past Accepting new patients
Partners in Care, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215926787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5581 S BILOXI WAY",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800165854",
            "telephone_number": "303-750-2082",
            "fax_number": "303-750-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S PARKER RD",
            "address_2": "#3-336",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141613",
            "telephone_number": "303-750-0245",
            "fax_number": "303-337-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "MYRA",
        "middle_name": "LOUISE",
        "credential": "APRN BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "162875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04009759",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO BOARD OF NURSING",
            "identifier": "RXRN04092",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.