Individual provider Active NPI

Danielle Lacy

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1629616438
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1690 Meade St
Denver, CO 80204-1552
Phone
(970) 391-4303
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

1690 Meade St
Denver, CO 80204-1552

Mailing address

5033 Tucson Way
Denver, CO 80239-4339
Phone (720) 427-5054

Other practice location 1

5033 Tucson Way
Denver, CO 80239-4339
Phone (720) 427-5054

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
I20201229001434 CO Practitioner - Physician Assistant 6608289277 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of Colorado PC 6 clinicians
Firstdoc PC 13 clinicians

Practice addresses (Care Compare)

501 E Hamden Ave
Englewood, CO 80113-2702
Phone (303) 788-5000

615 Fairhurst St
Sterling, CO 80751-4523
Phone (970) 522-0122

Hospital & facility affiliations

  • HCA-Healthone Dba Swedish Medical Center Hospital, Englewood, CO, CCN 060034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Colorado PC CurrentSince Nov 17, 2025 Accepting new patients
Inpatient Consultants of Colorado PC Physician Assistant CurrentSince Nov 17, 2025 Accepting new patients
Inpatient Consultants of Colorado, PC Physician Assistant Past Accepting new patients

Locations

2000 S Colorado Blvd
Ste 420
Denver, CO 80222
Phone (720) 524-1550

501 E Hampden Ave
Englewood, CO 80113
Phone (303) 788-5300

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1629616438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5033 TUCSON WAY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802394339",
            "telephone_number": "720-427-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 MEADE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802041552",
            "telephone_number": "970-391-4303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5033 Tucson Way",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802394339",
            "country_code": "US",
            "telephone_number": "720-427-5054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACY",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "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.