Susan A. Emerson, PA-C

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

0004221 Issued in CO

Practice address

1949 Pearl St
Boulder, CO 80302-4496

Phone

(303) 449-0517

Fax

(303) 449-0634

NPI assigned

Feb 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: semerson@garrow.mdlogic.direct-ci.com
• Direct secure messaging: susan.emerson@5176137285636.direct.elationemr.com

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1346631637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1949 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024496",
            "telephone_number": "303-449-0517",
            "fax_number": "303-449-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1949 PEARL ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803024496",
            "telephone_number": "303-449-0517",
            "fax_number": "303-449-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON",
        "first_name": "SUSAN",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-09",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "0004221",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CO",
            "license": "0004221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ely
• Embodied Essence, PLLC (True Essence Therapy, PLLC)
• Emergence Psychedelic Therapy, LLC
• Christopher Emerson, MA
• Nathan Emerson
• James Emery, M.A.,L.P.C.
• Kathy Emery, MA, LPC
• Emily a. Hamilton, PHD, LLC
• Robert Emmer
• Kimberly Ann Emmert

• Adult Medicine Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Adult Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.