Individual provider Active NPI

Lisa Pejsa Hudson, P.A.

  • Medical Physician Assistant
  • Englewood, CO
National Provider Identifier
1558372425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2014 Issued in CO
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.