Edwin Fairfield

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0008177 Issued in CO

Practice address

1259 Lake Plaza Dr Ste 200
Colorado Springs, CO 80906-3516

Phone

(719) 622-6522

NPI assigned

Jun 15, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Colorado Recovery TMS, LLCGroup PAC ID 2163822511, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Colorado Recovery TMS, LLC

  • Psychiatry Physician
  • Monument, CO
  • NPI 1225629553
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1407586035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 WOODMOOR DR STE 102",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 LAKE PLAZA DR STE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809063516",
            "telephone_number": "719-622-6522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8580 Scarborough Dr Ste 125",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809207584",
            "country_code": "US",
            "telephone_number": "719-622-6522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 Woodmoor Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Monument",
            "state": "CO",
            "postal_code": "801329083",
            "country_code": "US",
            "telephone_number": "719-622-6522",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1295 Kelly Johnson Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809203978",
            "country_code": "US",
            "telephone_number": "719-622-6522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAIRFIELD",
        "first_name": "EDWIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-15",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0008177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Fairchild, CNIM
• Connie M Fairchild, MA LPC CAC I
• Sonya Lee Fairchild, AGNP-C
• Nora Faircloth
• Ashley Fairfield
• Heather Fairfield, FNP
• Shara Fairman
• Edward Faison, PHARMD
• Brianna Fajardo
• Jocelyn Fajardo

• Physician Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.