Individual provider Active NPI

Emily Sisa

  • Psychiatric/Mental Health Nurse Practitioner
  • Lone Tree, CO
National Provider Identifier
1275102873
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0996677 Issued in CO
Practice address
10450 Park Meadows Dr
Lone Tree, CO 80124-5529
Phone
(720) 707-6914
NPI assigned
Jun 18, 2021
Last updated
Jul 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0003040-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0996677 CO Primary

Addresses

Primary practice location

10450 Park Meadows Dr
Lone Tree, CO 80124-5529

Mailing address

3530 Ivy St
Denver, CO 80207-1242
Phone (703) 403-5665

Other practice location 1

300 S Jackson St Ste 240
Denver, CO 80209-3131
Phone (720) 724-3668

Other practice location 2

9137 E Mineral Cir
Centennial, CO 80112-3421
Phone (303) 953-9405

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
I20230103002708 CO Practitioner - Nurse Practitioner 3971973116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Zephyr Behavioral Health and Wellness LLCGroup PAC ID 3870034507, 7 clinicians

Practice addresses (Care Compare)

6200 S Syracuse Way
Suite 260
Greenwood Village, CO 80111-4739
Phone (720) 432-9306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
C-APN.0003040-C-NPCOMDFamily Nurse Practitioner
APN.0996677COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Wellness Associates Multi-Specialty CurrentSince Dec 1, 2022 Accepting new patients
MRT Technologies, Inc. Multi-Specialty CurrentSince Nov 30, 2025 Accepting new patients
Zephyr Behavioral Health and Wellness LLC Multi-Specialty CurrentSince Sep 1, 2024 Accepting new patients
Denver Wellness Associates Multi-Specialty CurrentSince Aug 25, 2024 Accepting new patients
MRT Technologies, Inc. Multi-Specialty CurrentSince Apr 2, 2024 Accepting new patients
Apex Family Practice and Urgent Care PLLC Multi-Specialty Past Accepting new patients
Denver Wellness Associates PastSince Sep 10, 2023 Accepting new patients

Locations

300 S Jackson St
Ste 240
Denver, CO 80209
Phone (717) 215-3471

6081 S Quebec St
Ste 200
Englewood, CO 80111
Phone (303) 721-7330

6200 S Syracuse Way
Ste 260
Greenwood Village, CO 80111
Phone (303) 805-5456

1435 Garrison St
Ste 100
Lakewood, CO 80215
Phone (417) 425-4302

10450 Park Meadows Dr
Ste 100
Lone Tree, CO 80124
Phone (720) 707-6914

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23589/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1275102873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 IVY ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802071242",
            "telephone_number": "703-403-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 PARK MEADOWS DR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245529",
            "telephone_number": "720-707-6914"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 S Jackson St Ste 240",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802093131",
            "country_code": "US",
            "telephone_number": "720-724-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9137 E Mineral Cir",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "801123421",
            "country_code": "US",
            "telephone_number": "303-953-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SISA",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0003040-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0996677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.