Active NPI
Carol Deborah Siegel Friefeld, MD
- Pediatrics Physician
- Lafayette, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25519
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01255199 | Medicaid | CO |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25519 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Clinica Campesina Family Health Services | Current | 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.
-
- Clinic/Center
- Lafayette, CO
- NPI 1225025406
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmont, CO
- NPI 1558109223
-
- Federally Qualified Health Center (FQHC)
- Thornton, CO
- NPI 1093702177
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.