Individual provider Active NPI

Holly Kathleen Neumann, PA-C

  • Physician Assistant
  • Arvada, CO
National Provider Identifier
1669744199
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3310 Issued in CO
Practice address
15240 W 64TH Ave
Arvada, CO 80007-7511
Phone
(303) 463-7185
Fax
(303) 463-7186
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2706 CT
Medical Physician Assistant 363AM0700X 3310 CO
Physician Assistant 363A00000X 3310 CO Primary

Addresses

Primary practice location

15240 W 64TH Ave
Arvada, CO 80007-7511

Mailing address

PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000

Other practice location 1

8155 Piney River Ave
Littleton, CO 80125-8728
Phone (303) 265-3370

Other practice location 2

13631 Colorado Blvd
Thornton, CO 80602-7051
Phone (303) 252-2960

Other practice location 3

311 Steele St
Denver, CO 80206-4479
Phone (303) 372-4010

Other practice location 4

16951 E Quincy Ave
Aurora, CO 80015-1901
Phone (303) 752-5480

Other practice location 5

9475 S University Blvd
Highlands Ranch, CO 80126-7802
Phone (303) 470-4061

Other practice location 6

4404 Barranca Ln Unit 101
Castle Rock, CO 80104-7432
Phone (720) 733-5260

Other practice location 7

12605 E 16th Ave
Aurora, CO 80045-2545
Phone (720) 848-0000

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
2706CTMDClinical Neuropsychologist
3310COMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1669744199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110429",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800420429",
            "telephone_number": "303-493-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15240 W 64TH AVE",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800077511",
            "telephone_number": "303-463-7185",
            "fax_number": "303-463-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8155 Piney River Ave",
            "address_purpose": "LOCATION",
            "city": "Littleton",
            "state": "CO",
            "postal_code": "801258728",
            "country_code": "US",
            "telephone_number": "303-265-3370",
            "fax_number": "303-265-3371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13631 Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "806027051",
            "country_code": "US",
            "telephone_number": "303-252-2960",
            "fax_number": "303-252-2964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "311 Steele St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802064479",
            "country_code": "US",
            "telephone_number": "303-372-4010",
            "fax_number": "303-372-4011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16951 E Quincy Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800151901",
            "country_code": "US",
            "telephone_number": "303-752-5480",
            "fax_number": "303-752-5481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9475 S University Blvd",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801267802",
            "country_code": "US",
            "telephone_number": "303-470-4061",
            "fax_number": "303-470-4062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4404 Barranca Ln Unit 101",
            "address_purpose": "LOCATION",
            "city": "Castle Rock",
            "state": "CO",
            "postal_code": "801047432",
            "country_code": "US",
            "telephone_number": "720-733-5260",
            "fax_number": "720-733-5261",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12605 E 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452545",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEUMANN",
        "first_name": "HOLLY",
        "middle_name": "KATHLEEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "2706",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "3310",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "3310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.