Individual provider Active NPI

Brittany Lively Trimbath, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1659771475
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0004046 Issued in CO
Practice address
8354 E Northfield Blvd Ste 3700
Denver, CO 80238-3131
Phone
(303) 390-0208
NPI assigned
Aug 28, 2014
Last updated
Sep 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 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 0004046 CO Primary

Addresses

Primary practice location

8354 E Northfield Blvd Ste 3700
Denver, CO 80238-3131

Mailing address

8354 E Northfield Blvd Ste 3700
Denver, CO 80238-3131
Phone (303) 390-0208

Other practice location 1

1800 N Williams St
Suite 200
Denver, CO 80218-1234
Phone (303) 388-4876

Other names 1

  • Ms. Brittany Page Lively Former name

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
0004046COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Khalid Chowdhury MD, PC PastSince Feb 12, 2013 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: btrimbath18456@carelonhealth.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1659771475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8354 E NORTHFIELD BLVD STE 3700",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383131",
            "telephone_number": "303-390-0208",
            "fax_number": "303-930-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8354 E NORTHFIELD BLVD STE 3700",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802383131",
            "telephone_number": "303-390-0208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 N Williams St",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802181234",
            "country_code": "US",
            "telephone_number": "303-388-4876",
            "fax_number": "303-285-5097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIMBATH",
        "first_name": "BRITTANY",
        "middle_name": "LIVELY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0004046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRITTANY",
            "last_name": "LIVELY",
            "middle_name": "PAGE",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Sep 11, 2023; 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.