Individual provider Active NPI

Megan Townsend, PA-C

  • Physician Assistant
  • Broomfield, CO
National Provider Identifier
1609177484
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3022 Issued in CO
Practice address
13605 Xavier LN
Suite B
Broomfield, CO 80023-3603
Phone
(303) 404-3376
Fax
(303) 468-8793
NPI assigned
Nov 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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 3022 CO Primary

Addresses

Primary practice location

13605 Xavier LN
Suite B
Broomfield, CO 80023-3603

Mailing address

13605 Xavier LN
Suite B
Broomfield, CO 80023-3603
Phone (303) 404-3376

Other identifiers 1

IdentifierTypeStateIssuer
45629579MedicaidCO

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

State licenses

LicenseStateTypeSpecialty
3022COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kremmling Memorial Hospital District Past Accepting new patients
Goodland Regional Medical Center Past Accepting new patients
Kremmling Memorial Hospital District PastSince Jul 1, 2005 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1609177484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LN",
            "address_2": "SUITE B",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233603",
            "telephone_number": "303-404-3376",
            "fax_number": "303-468-8793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13605 XAVIER LN",
            "address_2": "SUITE B",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800233603",
            "telephone_number": "303-404-3376",
            "fax_number": "303-468-8793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWNSEND",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-09",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45629579",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.