Individual provider Active NPI

Mary Heather King, PA-C

  • Physician Assistant
  • Centennial, CO
National Provider Identifier
1245728203
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005279 Issued in CO
Practice address
6801 S Yosemite St
Centennial, CO 80112-1406
Phone
(303) 773-9000
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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.0005279 CO Primary

Addresses

Primary practice location

6801 S Yosemite St
Centennial, CO 80112-1406

Mailing address

8768 Culebra St
Arvada, CO 80007-7333
Phone (816) 820-4816

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180615000083 CO Practitioner - Physician Assistant 2769737774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Veros Clinical Services LLCGroup PAC ID 1254712359, 14 clinicians

Practice addresses (Care Compare)

3240 E 104TH Ave
Thornton, CO 80233-4406
Phone (303) 773-9000

6801 S Yosemite St
Centennial, CO 80112-1406
Phone (303) 773-9000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Veros Clinical Services LLC CurrentSince Jul 1, 2022 Accepting new patients
Veros Clinical Services LLC CurrentSince Jul 1, 2022 Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

15470 E Smoky Hill Rd
Aurora, CO 80015
Phone (303) 224-4687

6801 S Yosemite St
Centennial, CO 80112
Phone (303) 224-4703

18620 Grn Vly Ranch Blvd
Ste 101
Denver, CO 80249
Phone (720) 489-1111

1551 Professional Ln
Unit 170
Longmont, CO 80501
Phone (303) 224-4711

3655 E 104th Ave
Unit C
Thornton, CO 80233
Phone (720) 929-8300

3260 E 104th Ave
Thornton, CO 80233
Phone (303) 861-7878

3240 E 104th Ave
Thornton, CO 80233
Phone (303) 224-4700

Interoperability endpoints

  • Direct secure messaging: hpein@veroshealth.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73776

Organizations & group practices 2

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": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1245728203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8768 CULEBRA ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077333",
            "telephone_number": "816-820-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 S YOSEMITE ST",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801121406",
            "telephone_number": "303-773-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "MARY",
        "middle_name": "HEATHER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.