Individual provider Active NPI

Sienna Monique Serena, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1548887649
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.006291 Issued in CO
Practice address
7351 E Lowry Blvd Ste 200
Denver, CO 80230-6083
Phone
(720) 207-1126
NPI assigned
Jul 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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.006291 CO Primary

Addresses

Primary practice location

7351 E Lowry Blvd Ste 200
Denver, CO 80230-6083

Mailing address

19136 E Stanford Dr
Aurora, CO 80015-2860
Phone (720) 207-1126

Other identifiers 1

IdentifierTypeStateIssuer
PA.0006291OtherCOCO STATE LICENSE

Other names 1

  • Sienna Monique Myers Former name

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
PA.006291COMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1548887649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19136 E STANFORD DR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800152860",
            "telephone_number": "720-207-1126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7351 E LOWRY BLVD STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802306083",
            "telephone_number": "720-207-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERENA",
        "first_name": "SIENNA",
        "middle_name": "MONIQUE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-06",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.006291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO STATE LICENSE",
            "identifier": "PA.0006291",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIENNA",
            "last_name": "MYERS",
            "middle_name": "MONIQUE",
            "credential": "PA",
            "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 Jul 28, 2022; 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.