Active NPI
Danielle Lacy
- Physician Assistant
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PCFirstdoc PC
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Consultants of Colorado PC | Current | Accepting new patients | |
| Inpatient Consultants of Colorado PC | Physician Assistant | Current | 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.
-
- Internal Medicine Physician
- Denver, CO
- NPI 1538461256
Physician Assistant
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.