Individual provider Active NPI

Danielle Lauren King, PA-C

  • Physician Assistant
  • Loveland, CO
National Provider Identifier
1609388461
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006368 Issued in CO
Practice address
2500 Rocky Mountain Ave Ste 340
Loveland, CO 80538-9004
Phone
(970) 495-7421
Fax
(970) 203-7179
NPI assigned
Nov 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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.0006368 CO Primary

Addresses

Primary practice location

2500 Rocky Mountain Ave Ste 340
Loveland, CO 80538-9004

Mailing address

2121 E Harmony Rd Unit 330
Fort Collins, CO 80528-3403
Phone (970) 221-5878

Other identifiers 1

IdentifierTypeStateIssuer
9000194942MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, CO3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180126001059 NY Practitioner - Physician Assistant 2264792951 Reassigns benefits to 1 organization
I20180426002161 NJ Practitioner - Physician Assistant 2264792951 Reassigns benefits to 1 organization
I20210715003767 CO Practitioner - Physician Assistant 2264792951 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Poudre Valley Medical Group LLCGroup PAC ID 9638208549, 2,425 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Fort Collins, CO 80524-3929

2500 Rocky Mountain Ave
Loveland, CO 80538-9004

4404 Barranca LN
Unit 101
Castle Rock, CO 80104-7419
Phone (720) 733-5260

6767 29TH St
Greeley, CO 80634-5474
Phone (970) 224-3636

Hospital & facility affiliations

  • Medical Center of the Rockies Hospital, Loveland, CO, CCN 060119
  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010
  • Uchealth Greeley Hospital Hospital, Greeley, CO, CCN 060131
  • Cheyenne Regional Medical Center Hospital, Cheyenne, WY, CCN 530014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.0006368COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Mar 12, 2018 Accepting new patients
Poudre Valley Medical Group, LLC CurrentSince Nov 15, 2021 Accepting new patients
New York University CurrentSince Dec 11, 2017 Accepting new patients
New York University CurrentSince Dec 11, 2017 Accepting new patients
Poudre Valley Medical Group, LLC Past Accepting new patients

Locations

4404 Barranca Ln
Castle Rock, CO 80104
Phone (720) 733-5260

2121 E Harmony Rd
Unit 160
Fort Collins, CO 80528
Phone (970) 482-3328

1107 S Lemay Ave
Ste 240
Fort Collins, CO 80524
Phone (970) 495-7420

2121 E Harmony Rd
Ste 240
Fort Collins, CO 80528

2121 E Harmony Rd
Unit 330
Fort Collins, CO 80528
Phone (970) 221-5878

6767 29th St
#3
Greeley, CO 80634

6767 29th St
Fl 3
Greeley, CO 80634
Phone (970) 652-2801

6767 29th St
Greeley, CO 80634
Phone (970) 652-2000

6767 29th St
Ste 3
Greeley, CO 80634

1925 Mountain View Ave
Longmont, CO 80501
Phone (303) 776-1234

2500 Rocky Mountain Ave
Ste 340
Loveland, CO 80538
Phone (970) 495-7421

2500 Rocky Mountain Ave
Ste 2300
Loveland, CO 80538
Phone (970) 203-7150

2695 Rocky Mountain Ave
Ste 150
Loveland, CO 80538
Phone (970) 624-2412

201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455

555 Madison Ave
New York, NY 10022
Phone (646) 653-0784

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Organizations & group practices 6

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.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1609388461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 E HARMONY RD UNIT 330",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805283403",
            "telephone_number": "970-221-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ROCKY MOUNTAIN AVE STE 340",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389004",
            "telephone_number": "970-495-7421",
            "fax_number": "970-203-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "DANIELLE",
        "middle_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-01",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000194942",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loveland, CO

Sources for this page

Verify at the official NPI Registry.