NPIMap

Organization Active NPI

Green Mountain Pediatrics

  • Pediatrics Physician
  • Lakewood, CO
National Provider Identifier
1669499489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
GREEN MOUNTAIN PEDIATRICS
Practice address
255 Union Blvd
Suite 120
Lakewood, CO 80228-1810
Phone
(303) 936-7415
NPI assigned
Jul 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Francine Paston, MDNPI 1982630224
Title
Managing Partner
Phone
(303) 936-7415

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

255 Union Blvd
Suite 120
Lakewood, CO 80228-1810

Mailing address

255 Union Blvd
Suite 120
Lakewood, CO 80228-1810
Phone (303) 936-7415

Other identifiers 2

IdentifierTypeStateIssuer
GRA28161OtherCOBLUE SHIELD
04006326MedicaidCO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D0514402Green Mountain Pediatrics255 Union Blvd, Ste 120, Lakewood, CO 80228Certificate of waiverJan 7, 2028

National Provider Directory

National Provider Directory

Locations

255 Union Blvd
Ste 120
Lakewood, CO 80228
Phone (303) 936-7415

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21038/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669499489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281810",
            "telephone_number": "303-936-7415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD",
            "address_2": "SUITE 120",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281810",
            "telephone_number": "303-936-7415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MOUNTAIN PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PASTON",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "303-936-7415",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "GRA28161",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04006326",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.