Active NPI
Marcia L. Patterson, DNP, NP-C
- Nurse Practitioner
- Lafayette, CO
National Provider Identifier
1235211368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN.0100024-NP
- Practice address
- 2698 Big Horn Cir
Lafayette, CO 80026-9094 - Phone
- (831) 264-5325
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN.0201819 | CO | |
| Nurse Practitioner | 363L00000X | APN.0100024-NP | CO | Primary |
Addresses
Primary practice location
2698 Big Horn Cir
Lafayette, CO 80026-9094
Mailing address
2698 Big Horn Cir
Lafayette, CO 80026-9094
Phone (831) 264-5325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29533082 | Medicaid | CO |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0201819 | CO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physicians Referral Service | Current | Accepting new patients | |
| Geriatric Associates of America-Texas, PLLC | Adult Health | Past | Accepting new patients |
| Geriatric Associates of America, P.a. | Adult Health | Past | Accepting new patients |
Locations
1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446
1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446
Interoperability endpoints
- marcia.patterson.p45@direct.ipn.nextgenshare.com
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.
-
- Multi-Specialty Clinic/Center
- Houston, TX
- NPI 1073574810
-
- Internal Medicine Physician
- Webster, TX
- NPI 1669682886
Adult Health
-
- Geriatric Medicine (Family Medicine) Physician
- Houston, TX
- NPI 1093768673
Adult Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1235211368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2698 BIG HORN CIR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800269094",
"telephone_number": "831-264-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2698 BIG HORN CIR",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800269094",
"telephone_number": "831-264-5325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MARCIA",
"middle_name": "L.",
"credential": "DNP, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "RN.0201819",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0100024-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "29533082",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.