Active NPI
Angela C Sloan, CSFA
- Surgical Physician Assistant
- Boulder, CO
National Provider Identifier
1689147555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 179989
- Practice address
- 4747 Arapahoe Ave
Boulder, CO 80303-1131 - Phone
- (303) 415-7000
- NPI assigned
- Jan 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 179989 | MS | Primary |
Addresses
Primary practice location
4747 Arapahoe Ave
Boulder, CO 80303-1131
Mailing address
461 Leon LN
Thornton, CO 80260
Phone (601) 697-1588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 83-2977037 | Other | CO | SURGICAL FIRST ASSISTING |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179989 | MS | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1689147555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "461 LEON LN",
"city": "THORNTON",
"state": "CO",
"postal_code": "80260",
"telephone_number": "601-697-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031131",
"telephone_number": "303-415-7000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "ANGELA",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "CSFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "MS",
"license": "179989",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SURGICAL FIRST ASSISTING",
"identifier": "83-2977037",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.