Active NPI
Clifton Etienne, MD
- Family Medicine Physician
- Westminster, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 45991
- Practice address
- 12201 Pecos St
Unit #500
Westminster, CO 80234-3888 - Phone
- (303) 457-4497
- Fax
- (303) 254-4369
- NPI assigned
- Sep 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 45991 | CO | Primary |
Addresses
Primary practice location
12201 Pecos St
Unit #500
Westminster, CO 80234-3888
Mailing address
12201 Pecos St
Suite 500
Westminster, CO 80234-3888
Phone (303) 457-4497
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12201 Pecos St
Suite 500
Westminster, CO 80234-3888
12201 Pecos St
Suite 500
Westminster, CO 80234-3995
Phone (303) 457-4497
Hospital & facility affiliations
- HCA Healthone Mountain Ridge
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 45991 | CO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westmed Primary Care | Family Medicine | Current | Accepting new patients |
Locations
12201 Pecos St
Ste 500
Westminster, CO 80234
Phone (303) 457-4497
8601 Turnpike Dr
Unit 200
Westminster, CO 80031
Phone (303) 428-7449
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Westminster, CO
- NPI 1154357176
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thornton, CO
- NPI 1821042979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329955200000",
"number": "1245425289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12201 PECOS ST",
"address_2": "SUITE 500",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802343888",
"telephone_number": "303-457-4497",
"fax_number": "303-540-4692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12201 PECOS ST",
"address_2": "UNIT #500",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802343888",
"telephone_number": "303-457-4497",
"fax_number": "303-254-4369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETIENNE",
"first_name": "CLIFTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-12",
"last_updated": "2012-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "45991",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.