Active NPI
Ellie Himyak
- Physician Assistant
- Broomfield, CO
National Provider Identifier
1407740194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 2901 Broadlands CT
Broomfield, CO 80023-4251 - Phone
- (720) 470-8344
- NPI assigned
- Jun 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
2901 Broadlands CT
Broomfield, CO 80023-4251
Mailing address
2901 Broadlands CT
Broomfield, CO 80023-4251
Phone (720) 470-8344
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1407740194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 BROADLANDS CT",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800234251",
"telephone_number": "720-470-8344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 BROADLANDS CT",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800234251",
"telephone_number": "720-470-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMYAK",
"first_name": "ELLIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-06",
"last_updated": "2025-06-06",
"certification_date": "2025-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.