Individual provider Active NPI

Cynthia D Hartley, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1619112406
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
6895 E Hampden Ave
Denver, CO 80224-3047
Phone
(303) 861-7878
Fax
(303) 894-8066
NPI assigned
Dec 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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 Primary

Addresses

Primary practice location

6895 E Hampden Ave
Denver, CO 80224-3047

Mailing address

9609 Lake Mist CT
Fairfax Station, VA 22039-2677
Phone (801) 635-6886

Other practice location 1

8316 Arlington Blvd
Suite 410
Fairfax, VA 22031-5207
Phone (703) 573-6985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161118000154 CO Practitioner - Physician Assistant 1759447840 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Afterours Inc CurrentSince May 31, 2023 Accepting new patients
Jan J. Dekker, M.D., L.L.C. Past Accepting new patients

Locations

6895 E Hampden Ave
Denver, CO 80224
Phone (303) 861-7878

Organizations & group practices 2

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": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1619112406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9609 LAKE MIST CT",
            "city": "FAIRFAX STATION",
            "state": "VA",
            "postal_code": "220392677",
            "telephone_number": "801-635-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6895 E HAMPDEN AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802243047",
            "telephone_number": "303-861-7878",
            "fax_number": "303-894-8066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8316 Arlington Blvd",
            "address_2": "Suite 410",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220315207",
            "country_code": "US",
            "telephone_number": "703-573-6985",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "CYNTHIA",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.