NPIMap

Individual provider Active NPI

Dana Marie Koehn, ATC

  • Physician Assistant
  • Aspen, CO
National Provider Identifier
1326310673
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
401 Castle Creek Rd
Aspen, CO 81611-1159
Phone
(970) 476-1100
NPI assigned
Feb 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 096.002685 IL
Physician Assistant 363A00000X CO Primary

Addresses

Primary practice location

401 Castle Creek Rd
Aspen, CO 81611-1159

Mailing address

253 Wulfsong Rd
Apt. 227
Glenwood Springs, CO 81601
Phone (414) 581-1621

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
I20220728003733 CO Practitioner - Physician Assistant 1557743176 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Steadman Clinic Professional LLCGroup PAC ID 7719876226, 77 clinicians

Practice addresses (Care Compare)

181 W Meadow Dr
Suite 400
Vail, CO 81657-5058
Phone (970) 476-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
096.002685ILMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Steadman Clinic Professional LLC CurrentSince Jun 30, 2022 Accepting new patients

Locations

401 Castle Creek Rd
Ste 2100
Aspen, CO 81611
Phone (970) 544-1289

401 Castle Creek Rd
Aspen, CO 81611
Phone (970) 544-1192

200 Robinson St
Ste C300
Basalt, CO 81621

322 Beard Creek Rd
Edwards, CO 81632
Phone (970) 569-7429

181 W Meadow Dr
Ste 400
Vail, CO 81657
Phone (970) 680-0795

Organizations & group practices 1

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1326310673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 WULFSONG RD",
            "address_2": "APT. 227",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "81601",
            "telephone_number": "414-581-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CASTLE CREEK RD",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "816111159",
            "telephone_number": "970-476-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-02",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "096.002685",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

Verify at the official NPI Registry.