Active NPI
Lisa Pejsa Hudson, P.A.
- Medical Physician Assistant
- Englewood, CO
National Provider Identifier
1558372425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2014
- Practice address
- 601 E Hampden Ave
Suite 500
Englewood, CO 80113-3781 - Phone
- (303) 781-4485
- Fax
- (303) 788-7666
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2014 | CO | Primary |
Addresses
Primary practice location
601 E Hampden Ave
Suite 500
Englewood, CO 80113-3781
Mailing address
601 E Hampden Ave
Suite 500
Englewood, CO 80113-3781
Phone (303) 781-4485
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558372425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 E HAMPDEN AVE",
"address_2": "SUITE 500",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133781",
"telephone_number": "303-781-4485",
"fax_number": "303-788-7666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 E HAMPDEN AVE",
"address_2": "SUITE 500",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801133781",
"telephone_number": "303-781-4485",
"fax_number": "303-788-7666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "LISA",
"middle_name": "PEJSA",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "2014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.