Active NPI
Sara K Gause, PA
- Physician Assistant
- Denver, CO
National Provider Identifier
1437350915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1919
- Practice address
- 2045 Franklin St
Denver, CO 80205-5437 - Phone
- (303) 338-4545
- NPI assigned
- May 30, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10005179 | WA | |
| Physician Assistant | 363A00000X | 1919 | CO | Primary |
Addresses
Primary practice location
2045 Franklin St
Denver, CO 80205-5437
Mailing address
2045 Franklin St
Denver, CO 80205-5437
Phone (303) 338-4545
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23327 | Other | CO | KAISER COMMERCIAL NUMBER |
| 30133319 | Medicaid | CO |
Other names 1
- Sara Jan Kvamme
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 |
|---|---|---|---|
| PA10005179 | WA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1437350915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2045 FRANKLIN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802055437",
"telephone_number": "303-338-4545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2045 FRANKLIN ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802055437",
"telephone_number": "303-338-4545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUSE",
"first_name": "SARA",
"middle_name": "K",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-30",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10005179",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1919",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER COMMERCIAL NUMBER",
"identifier": "23327",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30133319",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SARA",
"last_name": "KVAMME",
"middle_name": "JAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.