Individual provider Active NPI

Leslie Murray, PA-C

  • Physician Assistant
  • Westminster, CO
National Provider Identifier
1548273329
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
291 Issued in CO
Practice address
8758 Wolff CT
Suite 200
Westminster, CO 80031-6903
Phone
(303) 427-7767
Fax
(303) 427-3214
NPI assigned
Aug 14, 2006
Last updated
Jan 19, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 291 CO Primary

Addresses

Primary practice location

8758 Wolff CT
Suite 200
Westminster, CO 80031-6903

Mailing address

8758 Wolff CT
Suite 200
Westminster, CO 80031-6903
Phone (303) 427-7767

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
I20160628000728 CO Practitioner - Physician Assistant 3870884539 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 1, 2016 Accepting new patients
Intermountain Medical Group Denver, LLC CurrentSince Aug 1, 2016 Accepting new patients

Locations

8758 Wolff Ct
Ste 200
Westminster, CO 80031
Phone (303) 403-6650

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295395200000",
    "number": "1548273329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8758 WOLFF CT",
            "address_2": "SUITE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316903",
            "telephone_number": "303-427-7767",
            "fax_number": "303-427-3214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8758 WOLFF CT",
            "address_2": "SUITE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800316903",
            "telephone_number": "303-427-7767",
            "fax_number": "303-427-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "LESLIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.