Individual provider Active NPI

Andrea Sherva, SA

  • Surgical Assistant
  • Colorado Springs, CO
National Provider Identifier
1508484494
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
License
SA.0002659 Issued in CO
Practice address
4110 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-7837
Phone
(719) 632-7669
Fax
(719) 867-7329
NPI assigned
Jul 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant 246ZC0007X SA.0002659 CO Primary

Addresses

Primary practice location

4110 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-7837

Mailing address

4110 Briargate Pkwy Ste 300
Colorado Springs, CO 80920-7837
Phone (719) 632-7669

Other practice location 1

1259 Lake Plaza Dr Ste 100
Colorado Springs, CO 80906-3542
Phone (719) 632-7669

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

State licenses

LicenseStateTypeSpecialty
SA.0002659COMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1508484494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207837",
            "telephone_number": "719-632-7669",
            "fax_number": "719-867-7329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 BRIARGATE PKWY STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809207837",
            "telephone_number": "719-632-7669",
            "fax_number": "719-867-7329"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1259 Lake Plaza Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809063542",
            "country_code": "US",
            "telephone_number": "719-632-7669",
            "fax_number": "719-867-7322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERVA",
        "first_name": "ANDREA",
        "credential": "SA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "SA.0002659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.