Active NPI
City of Lafayette
- Land Ambulance
- Lafayette, CO
National Provider Identifier
1285701292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF LAFAYETTE
- Practice address
- 401 North 111TH Street
Lafayette, CO 80026-0068 - Phone
- (303) 665-9661
- Fax
- (303) 604-3862
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Kussmann
- Title
- Senior Accountant
- Phone
- (303) 604-3601
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
401 North 111TH Street
Lafayette, CO 80026-0068
Mailing address
PO Box 3510
Silverdale, WA 98383-3510
Phone (800) 585-5242
Other practice location 1
511 Exempla Cir
Lafayette, CO 80026-3467
Phone (303) 665-9661
Other practice location 2
1290 S Public Rd
Lafayette, CO 80026-2706
Phone (303) 665-9661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33087229 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070129000790 | CO | Part B Supplier - Ambulance Service Supplier | 6709887052 | Practice locations: Lafayette, CO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D2277744 | City of Lafayette Fire Department | Certificate of waiver | Mar 2, 2027 |
National Provider Directory
National Provider DirectoryLocations
511 Exempla Cir
Lafayette, CO 80026
Phone (303) 665-9661
1290 S Public Rd
Lafayette, CO 80026
Phone (303) 665-9661
401 N 111th St
Lafayette, CO 80026
Phone (303) 665-9661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782432000000",
"number": "1285701292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3510",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983833510",
"telephone_number": "800-585-5242",
"fax_number": "360-394-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 NORTH 111TH STREET",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800260068",
"telephone_number": "303-665-9661",
"fax_number": "303-604-3862"
}
],
"practiceLocations": [
{
"address_1": "511 Exempla Cir",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "CO",
"postal_code": "800263467",
"country_code": "US",
"telephone_number": "303-665-9661",
"fax_number": "303-604-3862",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1290 S Public Rd",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "CO",
"postal_code": "800262706",
"country_code": "US",
"telephone_number": "303-665-9661",
"fax_number": "303-604-3862",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CITY OF LAFAYETTE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2026-06-26",
"certification_date": "2026-06-26",
"status": "A",
"authorized_official_last_name": "KUSSMANN",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "SENIOR ACCOUNTANT",
"authorized_official_telephone_number": "303-604-3601"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33087229",
"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 Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.