Active NPI
Nancy Smith Beste, PA-C. REG.PSYCHOTHER
- Physician Assistant
- Lakewood, CO
National Provider Identifier
1699853705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1354
- Practice address
- 393 S. Harlan Suite 105
Lakewood, CO 80226 - Phone
- (303) 596-7122
- Fax
- (206) 350-8698
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NLC0107312 | CO | |
| Counseling Psychologist | 103TC1900X | NLC0107312 | CO | |
| Group Psychotherapy Psychologist | 103TP2701X | NLC0107312 | CO | |
| Medical Physician Assistant | 363AM0700X | 1354 | CO | |
| Physician Assistant | 363A00000X | 1354 | CO | Primary |
Addresses
Primary practice location
393 S. Harlan Suite 105
Lakewood, CO 80226
Mailing address
393 S. Harlan Suite 105
Lakewood, CO 80226
Phone (303) 596-7122
Other practice location 1
320 Oak Street
Steamboat Springs, CO 80487
Phone (303) 434-8484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16837860 | Medicaid | CO |
Other names 1
- Ms. Nancy A Smith
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050921000899 | CO | Practitioner - Physician Assistant | 4880628619 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NLC0107312 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 1354 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Mountain Clinics LLC | Current | Accepting new patients | |
| Rocky Mountain Clinics, LLC | Current | Accepting new patients | |
| Metro Denver Anesthesia PC | Past | Accepting new patients |
Locations
1120 E Elizabeth St
Ste G2
Fort Collins, CO 80524
Phone (970) 443-8268
1120 E Elizabeth St
Ste 2
Fort Collins, CO 80524
8223 W 20th St
Ste 100A
Greeley, CO 80634
Phone (970) 702-2705
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Fort Collins, CO
- NPI 1295450294
CO
-
- Addiction Medicine (Family Medicine) Physician
- Canon City, CO
- NPI 1134846850
-
- Addiction Medicine (Family Medicine) Physician
- Alamosa, CO
- NPI 1285468546
-
- Anesthesiology Physician
- Denver, CO
- NPI 1992778724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1699853705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 S. HARLAN SUITE 105",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "80226",
"telephone_number": "303-596-7122",
"fax_number": "206-350-8698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 S. HARLAN SUITE 105",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "80226",
"telephone_number": "303-596-7122",
"fax_number": "206-350-8698"
}
],
"practiceLocations": [
{
"address_1": "320 Oak Street",
"address_purpose": "LOCATION",
"city": "Steamboat Springs",
"state": "CO",
"postal_code": "80487",
"country_code": "US",
"telephone_number": "303-434-8484",
"fax_number": "206-350-8698",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BESTE",
"first_name": "NANCY",
"middle_name": "SMITH",
"credential": "PA-C. REG.PSYCHOTHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "NLC0107312",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CO",
"license": "NLC0107312",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CO",
"license": "NLC0107312",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CO",
"license": "1354",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "1354",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16837860",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "SMITH",
"middle_name": "A",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.