Active NPI
Yng Sun, PA-C
- Physician Assistant
- Brighton, CO
National Provider Identifier
1366674368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 80247
- Practice address
- 1860 E Egbert St
Brighton, CO 80601-2475 - Phone
- (303) 659-4000
- Fax
- (303) 659-9306
- NPI assigned
- Aug 10, 2009
- 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 | 80247 | CO | Primary |
Addresses
Primary practice location
1860 E Egbert St
Brighton, CO 80601-2475
Mailing address
203 S Rollie Ave
Fort Lupton, CO 80621-1508
Phone (303) 286-4560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2834 | Other | CO | CO LICENSE |
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 |
|---|---|---|---|
| 2834 | CO | MD | Specialist |
| 80247 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249862400000",
"number": "1366674368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S ROLLIE AVE",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806211508",
"telephone_number": "303-286-4560",
"fax_number": "303-286-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1860 E EGBERT ST",
"city": "BRIGHTON",
"state": "CO",
"postal_code": "806012475",
"telephone_number": "303-659-4000",
"fax_number": "303-659-9306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUN",
"first_name": "YNG",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-10",
"last_updated": "2009-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "80247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CO LICENSE",
"identifier": "2834",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brighton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.