Individual provider Active NPI

Laura Marie Walls, RD, PA-C

  • Physician Assistant
  • Golden, CO
National Provider Identifier
1497192595
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3963 Issued in CO
Practice address
1030 Johnson Rd Ste 200
Golden, CO 80401-6007
Phone
(303) 278-4600
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NC
Physician Assistant 363A00000X 3963 CO Primary

Addresses

Primary practice location

1030 Johnson Rd Ste 200
Golden, CO 80401-6007

Mailing address

PO Box 35380
Las Vegas, NV 89133-5380
Phone (303) 763-4900

Other practice location 1

1823 Ford St
Golden, CO 80401-2464
Phone (303) 279-7844

Other practice location 2

6895 E Hampden Ave
Denver, CO 80224-3047
Phone (303) 861-7878

Other identifiers 1

IdentifierTypeStateIssuer
PA.0003963OtherCOPHYSICIAN ASSISTANT LICENSE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150105000302 CO Practitioner - Physician Assistant 9335373679 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Afterours IncGroup PAC ID 6103865787, 24 clinicians
Primary Care Solutions PCGroup PAC ID 4183847114, 24 clinicians

Practice addresses (Care Compare)

101 W Mineral Ave
Suite 105
Littleton, CO 80120-4500
Phone (303) 861-7878

10552 E Arizona PL
Aurora, CO 80012-7007
Phone (303) 757-1500

1295 Colorado Blvd
Denver, CO 80206-3615
Phone (303) 639-1000

1335 E S Boulder Rd
Suite C Afc Urgent Care
Louisville, CO 80027-2304
Phone (720) 961-9700

2290 S Colorado Blvd
Denver, CO 80222-4914
Phone (303) 756-4500

2795 Pearl St
Suite 106
Boulder, CO 80302-3826
Phone (720) 961-9700

2848 Colorado Blvd
Unit B
Denver, CO 80207-3016
Phone (303) 381-1100

3177 N Downing St
Denver, CO 80205-3914
Phone (303) 758-2800

3212 E 104TH Ave
Thornton, CO 80233-4406
Phone (303) 861-7878

3790 W Colfax Ave
Denver, CO 80204-1515
Phone (303) 480-1000

3800 Irving St
Suite 10
Denver, CO 80211-1935
Phone (303) 477-6000

4800 Baseline Rd
Suite D106
Boulder, CO 80303-2643
Phone (720) 961-9700

589 S Hover St
Suite 500
Longmont, CO 80501-7929
Phone (720) 961-9700

6895 E Hampden Ave
Denver, CO 80224-3047
Phone (303) 861-7878

760 S Colorado Blvd
Glendale, CO 80246-1954

760 S Colorado Blvd
Unit B
Denver, CO 80246-1956
Phone (303) 692-8000

777 E Speer Blvd
Suite 100
Denver, CO 80203-4263
Phone (303) 733-4000

850 S Monaco Pkwy
Suite 10
Denver, CO 80224-1569
Phone (303) 935-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3963COMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Afterours Inc CurrentSince May 1, 2025 Accepting new patients
Urgent Care Solutions, Glendale, PC CurrentSince May 15, 2025 Accepting new patients
Quality Urgent Care Professional Corporation CurrentSince Feb 10, 2025 Accepting new patients
Urgent Care Solutions Glendale, P.C. CurrentSince May 15, 2025 Accepting new patients
Afterours Inc CurrentSince May 1, 2025 Accepting new patients
Primary Care Solutions P.C. PastSince Aug 3, 2025 Accepting new patients
Quality Urgent Care Professional Corporation Past Accepting new patients
Quality Urgent Care Professional Corporation Past Accepting new patients

Locations

2795 Pearl St
Ste 106
Boulder, CO 80302
Phone (720) 961-9700

4800 Baseline Rd
Ste D106
Boulder, CO 80303
Phone (303) 499-0176

3800 Irving St
Ste 10
Denver, CO 80211
Phone (303) 477-6000

777 E Speer Blvd
Ste 100
Denver, CO 80203
Phone (303) 733-4000

6895 E Hampden Ave
Denver, CO 80224
Phone (303) 861-7878

589 S Hover St
Ste 500
Longmont, CO 80501
Phone (720) 961-9700

1335 E South Boulder Rd
Ste C
Louisville, CO 80027
Phone (720) 961-9700

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1497192595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35380",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891335380",
            "telephone_number": "303-763-4900",
            "fax_number": "303-763-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 JOHNSON RD STE 200",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804016007",
            "telephone_number": "303-278-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1823 Ford St",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804012464",
            "country_code": "US",
            "telephone_number": "303-279-7844",
            "fax_number": "303-279-6937",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6895 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802243047",
            "country_code": "US",
            "telephone_number": "303-861-7878",
            "fax_number": "303-894-8066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALLS",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "RD, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA.0003963",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.