Active NPI
Nancy Lataitis, MD
- Pediatrics Physician
- Englewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0027713
- Practice address
- 9785 Maroon Cir Ste G104
Englewood, CO 80112-5922 - Phone
- (303) 779-1172
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | DR.0027713 | CO | Primary |
Addresses
Primary practice location
9785 Maroon Cir Ste G104
Englewood, CO 80112-5922
Mailing address
PO Box 17982
Belfast, ME 04915
Phone (303) 388-4256
Other practice location 1
3801 E Florida Ave Ste 300
Denver, CO 80210-2571
Phone (303) 388-4256
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10385736 | Other | CAQH | |
| 78439051 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0027713 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Pediatrics, P.C. | Specialist | Current | Accepting new patients |
| Partners in Pediatrics, P.C. | Pediatrics | Current | Accepting new patients |
Locations
3801 E Florida Ave
Ste 300
Denver, CO 80210
Phone (303) 388-4256
919 Jasmine St
Denver, CO 80220
Phone (303) 388-4256
919 Jasmine St
Ste 100
Denver, CO 80220
Phone (303) 388-4256
9785 Maroon Cir
Ste G104
Englewood, CO 80112
Phone 3037791172 ext. 114
Organizations & group practices 2
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.
-
- Pediatrics Physician
- Englewood, CO
- NPI 1508469875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1346354503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 17982",
"city": "BELFAST",
"state": "ME",
"postal_code": "04915",
"telephone_number": "303-388-4256",
"fax_number": "303-388-7802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9785 MAROON CIR STE G104",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801125922",
"telephone_number": "303-779-1172"
}
],
"practiceLocations": [
{
"address_1": "3801 E Florida Ave Ste 300",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802102571",
"country_code": "US",
"telephone_number": "303-388-4256",
"fax_number": "303-388-7802",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATAITIS",
"first_name": "NANCY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0027713",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10385736",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78439051",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.