Active NPI
Myra Louise Pauley, APRN BC
- Nurse Practitioner
- Aurora, CO
National Provider Identifier
1215926787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 162875
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04009759 | Medicaid | CO | |
| RXRN04092 | Other | CO | COLORADO 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
| License | State | Type | Specialty |
|---|---|---|---|
| 162875 | CO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kenneth D Krause MD PC | Past | 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.
-
- Psychiatric/Mental Health Registered Nurse
- Aurora, CO
- NPI 1255458600
-
- Professional Counselor
- Grand Junction, CO
- NPI 1275214959
-
- General Practice Physician
- Aurora, CO
- NPI 1023015435
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.