Individual provider Active NPI

Samantha Ruth Magnuson Holmes, PA-C, CCC-SLP

  • Physician Assistant
  • Westminster, CO
National Provider Identifier
1548466048
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005581 Issued in CO
Practice address
8510 Bryant St Ste 200
Westminster, CO 80031-3845
Phone
(303) 650-4460
Fax
(720) 565-4130
NPI assigned
Jun 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 PA.0005581 CO Primary

Addresses

Primary practice location

8510 Bryant St Ste 200
Westminster, CO 80031-3845

Mailing address

1735 S Public Rd Ste 203
Lafayette, CO 80026-7093
Phone (303) 665-3036

Other practice location 1

270 Delaware St
Denver, CO 80223-1306
Phone (720) 273-2140

Other practice location 2

5101 S Rio Grande St Apt 2308
Littleton, CO 80120-8232
Phone (720) 273-2140

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address samantha.holmes.p4@direct.clinicafamilyhealth.nextgenshare.com Direct

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
I20181206001352 CO Practitioner - Physician Assistant 1052655719 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Current Care PAGroup PAC ID 9739260019, 545 clinicians

Practice addresses (Care Compare)

1212 S Broadway
Suite 150
Denver, CO 80210-1583
Phone (303) 777-2777

1730 Blake St
Suite 100
Denver, CO 80202-1274
Phone (303) 296-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services CurrentSince Dec 3, 2018 Accepting new patients
American Current Care PA CurrentSince Jun 1, 2021 Accepting new patients
American Current Care P.a. CurrentSince Jun 1, 2021 Accepting new patients
Adelante Speech Therapy, LLC Speech-Language Pathologist Past Accepting new patients

Locations

1730 Blake St
Ste 100
Denver, CO 80202
Phone (303) 296-2273

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

1735 S Public Rd
Ste 203
Lafayette, CO 80026

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Interoperability endpoints

  • Direct secure messaging: samantha.holmes.p4@direct.clinicafamilyhealth.nextgenshare.com

Organizations & group practices 5

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": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1548466048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 S PUBLIC RD STE 203",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267093",
            "telephone_number": "303-665-3036",
            "fax_number": "303-665-3397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8510 BRYANT ST STE 200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800313845",
            "telephone_number": "303-650-4460",
            "fax_number": "720-565-4130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Delaware St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802231306",
            "country_code": "US",
            "telephone_number": "720-273-2140",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5101 S Rio Grande St Apt 2308",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801208232",
            "country_code": "US",
            "telephone_number": "720-273-2140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "SAMANTHA",
        "middle_name": "RUTH MAGNUSON",
        "name_prefix": "Mrs.",
        "credential": "PA-C, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.holmes.p4@direct.clinicafamilyhealth.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "NextGen EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "8510 Bryant St Ste 200",
            "city": "Westminster",
            "state": "CO",
            "country_code": "US",
            "postal_code": "800313845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.