Individual provider Active NPI

Nancy Smith Beste, PA-C. REG.PSYCHOTHER

  • Physician Assistant
  • Lakewood, CO
National Provider Identifier
1699853705
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1354 Issued in CO
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
16837860MedicaidCO

Other names 1

  • Ms. Nancy A Smith Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
NLC0107312COMDAddiction (Substance Use Disorder) Counselor
1354COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rocky Mountain Clinics LLC CurrentSince Dec 16, 2022 Accepting new patients
Rocky Mountain Clinics, LLC CurrentSince Dec 16, 2022 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.

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

Verify at the official NPI Registry.