NPIMap

Individual provider Active NPI

Liana Kate Quinn, PA

  • Medical Physician Assistant
  • Boulder, CO
National Provider Identifier
1295203180
Registry record updated Sep 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
022882 Issued in NY
Practice address
4743 Arapahoe Ave Ste 201
Boulder, CO 80303-1128
Phone
(303) 442-2395
Fax
(303) 442-1073
NPI assigned
Nov 8, 2018
Last updated
Sep 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 022882 NY Primary

Addresses

Primary practice location

4743 Arapahoe Ave Ste 201
Boulder, CO 80303-1128

Mailing address

PO Box 9049
Boulder, CO 80301-9049
Phone (303) 442-2395

Other practice location 1

2101 Ken Pratt Blvd Ste 104
Longmont, CO 80501-6568
Phone (303) 442-2395

Other practice location 2

101 Erie Pkwy Ste 201A
Erie, CO 80516-4072
Phone (303) 442-2395

Other practice location 3

1000 W South Boulder Rd Ste 216
Lafayette, CO 80026-2089
Phone (303) 442-2395

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
I20210414000680 CO Practitioner - Physician Assistant 4082959176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

1755 48TH St
Suite 200
Boulder, CO 80301-2712
Phone (303) 415-7450

4743 Arapahoe Ave
Boulder, CO 80303-1128

4747 Arapahoe Ave
Boulder, CO 80303-1131
Phone (303) 415-7610

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Community Health CurrentSince Dec 1, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 1, 2021 Accepting new patients
Denver Health and Hospital Authority CurrentSince Apr 1, 2021 Accepting new patients
Boulder Community Health CurrentSince Dec 1, 2021 Accepting new patients
Boulder Community Health Past Accepting new patients
Boulder Community Health Past Accepting new patients

Locations

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

4743 Arapahoe Ave
Ste 201
Boulder, CO 80303

5450 Western Ave
Boulder, CO 80301
Phone (303) 415-4770

777 Bannock St
Denver, CO 80204

101 Erie Pkwy
Ste 201A
Erie, CO 80516

1000 W South Boulder Rd
Ste 216
Lafayette, CO 80026

2101 Ken Pratt Blvd
Ste 104
Longmont, CO 80501
Phone (303) 776-1532

2101 Ken Pratt Blvd
Ste 104B
Longmont, CO 80501

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.

Hospital & facility affiliations 34

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

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664409600000",
    "number": "1295203180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9049",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803019049",
            "telephone_number": "303-442-2395",
            "fax_number": "303-442-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 ARAPAHOE AVE STE 201",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031128",
            "telephone_number": "303-442-2395",
            "fax_number": "303-442-1073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2101 Ken Pratt Blvd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805016568",
            "country_code": "US",
            "telephone_number": "303-442-2395",
            "fax_number": "303-442-1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Erie Pkwy Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "CO",
            "postal_code": "805164072",
            "country_code": "US",
            "telephone_number": "303-442-2395",
            "fax_number": "303-442-1073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W South Boulder Rd Ste 216",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "CO",
            "postal_code": "800262089",
            "country_code": "US",
            "telephone_number": "303-442-2395",
            "fax_number": "303-442-1073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "LIANA",
        "middle_name": "KATE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2022-09-29",
        "certification_date": "2022-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "022882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.