Active NPI
Terry J Scofield, P.A.
- Physician Assistant
- Fort Collins, CO
National Provider Identifier
1356449094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 979
- Practice address
- 1107 S Lemay Ave
Suite 200
Fort Collins, CO 80524-3960 - Phone
- (970) 484-1757
- Fax
- (970) 484-9924
- NPI assigned
- Sep 20, 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 979 | CO | Primary |
Addresses
Primary practice location
1107 S Lemay Ave
Suite 200
Fort Collins, CO 80524-3960
Mailing address
3702 Automation Way
Suite 103
Fort Collins, CO 80525-5737
Phone (970) 224-1670
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)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000979 | CO | MD | Speech-Language Pathologist |
| 979 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1356449094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3702 AUTOMATION WAY",
"address_2": "SUITE 103",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255737",
"telephone_number": "970-224-1670",
"fax_number": "970-495-6218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 S LEMAY AVE",
"address_2": "SUITE 200",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243960",
"telephone_number": "970-484-1757",
"fax_number": "970-484-9924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCOFIELD",
"first_name": "TERRY",
"middle_name": "J",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.