Elizabeth Erin Grevengoed, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2798 Issued in CO

Practice address

400 Indiana St Ste 230
Golden, CO 80401-5027

Phone

(303) 388-4461

Fax

(303) 270-2167

NPI assigned

Sep 2, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605657600000",
    "number": "1669605960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 230",
            "address_2": "NATIONAL JEWISH WESTERN ONCOLOGY",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "303-232-0602",
            "fax_number": "303-988-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 230",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015027",
            "telephone_number": "303-388-4461",
            "fax_number": "303-270-2167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREVENGOED",
        "first_name": "ELIZABETH",
        "middle_name": "ERIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-02",
        "last_updated": "2020-11-18",
        "certification_date": "2020-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "68222271",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "njhoncology@NWHOC.OncoEMRDirect.com",
            "affiliation": "N",
            "address_1": "400 Indiana St Ste 230",
            "city": "Golden",
            "state": "CO",
            "country_code": "US",
            "postal_code": "804015027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rachel Gray, PHARMD
• Elena Loredana Greenberg
• Kristy Nicole Greene, CCC, MS
• Sarah Gregory
• Benjamin Greller, MD
• Tara A. Grieshaber, PA
• Rebecca J. Grosh, PA-C
• Leonid S Grossman, MD
• Melissa Beth Gruen, MD, JD
• Linda Marie Gryski

• Physician Assistant in Golden, CO
• Providers in Golden, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2020; 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.