Active NPI
Donna M Benton, PA
- Physician Assistant
- Lakewood, CO
National Provider Identifier
1376670257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1197
- Practice address
- 8383 W Alameda Ave
Lakewood, CO 80226-3007 - Phone
- (303) 338-4545
- NPI assigned
- Feb 27, 2007
- 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 | 1197 | CO | Primary |
Addresses
Primary practice location
8383 W Alameda Ave
Lakewood, CO 80226-3007
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 75480859 | Medicaid | CO | |
| 011947 | Other | KAISER-COMMERCIAL NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1197 | CO | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Clinica Campesina Family Health Services | Current | Accepting new patients |
Locations
1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273
1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061
1735 S Public Rd
Ste 203
Lafayette, CO 80026
5080 Spectrum Dr
Ste 1200W
Addison, TX 75001
Organizations & group practices 6
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.
-
- Clinic/Center
- Lafayette, CO
- NPI 1225025406
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
-
- Clinic/Center
- Boulder, CO
- NPI 1184613234
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmont, CO
- NPI 1558109223
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1376670257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10350 E DAKOTA AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802471314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8383 W ALAMEDA AVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802263007",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENTON",
"first_name": "DONNA",
"middle_name": "M",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "75480859",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER-COMMERCIAL NUMBER",
"identifier": "011947",
"state": null
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways",
"affiliation": "N",
"endpointDescription": "CAREQUALITY",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "8383 W Alameda Ave",
"city": "Lakewood",
"state": "CO",
"country_code": "US",
"postal_code": "802263007",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.