Individual provider Active NPI

Carol Deborah Siegel Friefeld, MD

  • Pediatrics Physician
  • Lafayette, CO
National Provider Identifier
1245228576
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25519 Issued in CO
Practice address
1735 S Public Rd Ste 100
Lafayette, CO 80026-7093
Phone
(303) 665-3036
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25519 CO Primary

Addresses

Primary practice location

1735 S Public Rd Ste 100
Lafayette, CO 80026-7093

Mailing address

1735 S Public Rd Ste 100
Lafayette, CO 80026-7093
Phone (303) 665-3036

Other practice location 1

1701 W 72nd Avenue
3rd Floor
Denver, CO 80221-2721
Phone (303) 650-4460

Other identifiers 1

IdentifierTypeStateIssuer
01255199MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000029 CO Practitioner - Pediatric Medicine 3971506387 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25519COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services Current Accepting new patients
Clinica Campesina Family Health Services CurrentSince Aug 25, 2016 Accepting new patients
Clinica Campesina Family Health Services Past Accepting new patients

Locations

1701 W 72nd Ave
Fl 3
Denver, CO 80221

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

1735 S Public Rd
Ste 100
Lafayette, CO 80026
Phone (303) 665-2962

1345 Plaza Ct N
Ste 1A
Lafayette, CO 80026
Phone (303) 665-2962

2000 W South Boulder Rd
Lafayette, CO 80026
Phone 30366530361250

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1245228576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 S PUBLIC RD STE 100",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267093",
            "telephone_number": "303-665-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 S PUBLIC RD STE 100",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267093",
            "telephone_number": "303-665-3036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W 72nd Avenue",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802212721",
            "country_code": "US",
            "telephone_number": "303-650-4460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIEGEL FRIEFELD",
        "first_name": "CAROL",
        "middle_name": "DEBORAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2023-03-07",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "25519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01255199",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.