Laura Ashley Pernelli, APA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C0004807 Issued in MD

Practice address

3920 Barkeley Ave
Fort Carson, CO 80913

Phone

(097) 524-2047

NPI assigned

Jul 24, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1689929994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 ANASAZI CT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809193487",
            "telephone_number": "717-360-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 BARKELEY AVE",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "80913",
            "telephone_number": "097-524-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERNELLI",
        "first_name": "LAURA",
        "middle_name": "ASHLEY",
        "credential": "APA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-24",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0004807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Mary Pazdan, M.D.
• Peak View Optometry Fort Carson, LLC
• Peak View Optometry, PLLC
• Kassandra Tasha Pellegrini, MD
• John Earl Peptis, MSW
• Daniel Robert Perrington, DMD
• Christian D Petersen, DDS, MS
• Julie Christine Peterson, RN, BSN
• Lori Letitia Peterson, R.N.
• James Daniel Phillips, MD

• Physician Assistant in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.