Individual provider Active NPI

Barbara Lynn Gablehouse, MD

  • Pediatrics Physician
  • Wheat Ridge, CO
National Provider Identifier
1386649903
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
29927 Issued in CO
Practice address
3555 Lutheran Pkwy
Ste 340
Wheat Ridge, CO 80033-6039
Phone
(303) 996-6005
Fax
(303) 421-3822
NPI assigned
Jun 20, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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 29927 CO Primary

Addresses

Primary practice location

3555 Lutheran Pkwy
Ste 340
Wheat Ridge, CO 80033-6039

Mailing address

3555 Lutheran Pkwy
Ste 340
Wheat Ridge, CO 80033-6039
Phone (303) 996-6005

Other identifiers 1

IdentifierTypeStateIssuer
01299270MedicaidCO

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
29927COMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581033600000",
    "number": "1386649903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "STE 340",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336039",
            "telephone_number": "303-996-6005",
            "fax_number": "303-421-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 LUTHERAN PKWY",
            "address_2": "STE 340",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800336039",
            "telephone_number": "303-996-6005",
            "fax_number": "303-421-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABLEHOUSE",
        "first_name": "BARBARA",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CO",
            "license": "29927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01299270",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.