Aedine Prummer, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005456 Issued in CO

Practice address

2230 S Fraser St Unit 1
Aurora, CO 80014-4536

Phone

(303) 341-4200

NPI assigned

Jul 21, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Aedine Peyou Ndi Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• New West Physicians Inc

  • Internal Medicine Physician
  • Golden, CO
  • NPI 1427010859

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1532131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585785600000",
    "number": "1316424435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 S FRASER ST UNIT 1",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144536",
            "telephone_number": "303-341-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 S FRASER ST UNIT 1",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800144536",
            "telephone_number": "303-341-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUMMER",
        "first_name": "AEDINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-21",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AEDINE",
            "last_name": "PEYOU NDI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Denise Prueitt
• Brannon Wesley Pruet, MA, LPC
• Peter B Pruett, MD
• Stephanie Pruitt
• Taylor Cheyenne Pruitt, PT, DPT
• Parker Prusick, MD
• Lydia L. Prusinowski
• Christopher Pryor
• Julie Anne Przekwas, PA-C
• Thomas James Pshak, M.D.

• Physician Assistant in Aurora, CO
• Providers in Aurora, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.