Individual provider Active NPI

Nancy Lataitis, MD

  • Pediatrics Physician
  • Englewood, CO
National Provider Identifier
1346354503
Registry record updated May 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0027713 Issued in CO
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

Updated by the provider on May 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10385736OtherCAQH
78439051MedicaidCO

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

LicenseStateTypeSpecialty
DR.0027713COMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Pediatrics, P.C. Specialist CurrentSince Feb 24, 2022 Accepting new patients
Partners in Pediatrics, P.C. Pediatrics CurrentSince Mar 20, 2022 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.

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.

Verify at the official NPI Registry.