NPIMap

Individual provider Active NPI

Rebecca C Urquhart, PA-C

  • Physician Assistant
  • Eagle, CO
National Provider Identifier
1245536119
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-3164 Issued in CO
Practice address
377 Sylvan Lake Rd
Eagle, CO 81631
Phone
(970) 328-6357
Fax
(970) 328-5633
NPI assigned
Feb 9, 2011
Last updated
Nov 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-3164 CO Primary

Addresses

Primary practice location

377 Sylvan Lake Rd
Eagle, CO 81631

Mailing address

1906 Blake Ave
Glenwood SPGS, CO 81601-4227
Phone (970) 384-7291

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110328000024 CO Practitioner - Physician Assistant 8022291178 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley View Hospital AssociationGroup PAC ID 1850294778, shared by 23 NPIs, 205 clinicians

Practice addresses (Care Compare)

1830 Blake Ave
Suite 101
Glenwood Springs, CO 81601-4275
Phone (970) 384-8028

1906 Blake Ave
Glenwood SPGS, CO 81601-4227

195 Freestone Rd
Eagle, CO 81631-5930
Phone (970) 328-6357

377 Sylvan Lake Rd
Eagle, CO 81631-6779

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-3164COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley View Hospital Association CurrentSince Nov 11, 2018 Accepting new patients
Valley View Hospital Association CurrentSince Oct 1, 2014 Accepting new patients
Pathology Assoc of the Roaring Fork Current Accepting new patients
Valley View Hospital Association CurrentSince Oct 1, 2014 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Oct 1, 2014 Accepting new patients
Valley View Hospital Association Current Accepting new patients
Valley View Hospital Association CurrentSince Oct 1, 2014 Accepting new patients

Locations

377 Sylvan Lake Rd
Eagle, CO 81631
Phone (970) 328-1650

1906 Blake Ave
Glenwood Springs, CO 81601
Phone (970) 384-7033

2001 N Horseshoe Trl
Silt, CO 81652
Phone (970) 876-5700

Interoperability endpoints

  • Direct secure messaging: rebecca.urquhart.1@9028.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1245536119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPGS",
            "state": "CO",
            "postal_code": "816014227",
            "telephone_number": "970-384-7291",
            "fax_number": "970-384-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 SYLVAN LAKE RD",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "81631",
            "telephone_number": "970-328-6357",
            "fax_number": "970-328-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URQUHART",
        "first_name": "REBECCA",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-09",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA-3164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle, CO

Sources for this page

Verify at the official NPI Registry.