Individual provider Active NPI

Angel Stout-Padovani, RPA

  • Radiology Practitioner Assistant
  • Lakewood, CO
National Provider Identifier
1700411451
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Practitioner AssistantTaxonomy code 243U00000X
License
09M01394 Issued in UT
Practice address
1819 Denver West Dr Ste 101
Lakewood, CO 80401-3172
Phone
(303) 854-9888
Fax
(720) 501-5199
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Practitioner Assistant 243U00000X 09M01394 UT Primary

Addresses

Primary practice location

1819 Denver West Dr Ste 101
Lakewood, CO 80401-3172

Mailing address

1819 Denver West Dr Ste 101
Lakewood, CO 80401-3172
Phone (303) 416-1360

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

LicenseStateTypeSpecialty
09M01394UTMDRadiology Practitioner Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Imaging Associates P C PastSince Mar 9, 2020 Accepting new patients

Organizations & group practices 1

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1700411451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 DENVER WEST DR STE 101",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013172",
            "telephone_number": "303-416-1360",
            "fax_number": "720-501-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 DENVER WEST DR STE 101",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013172",
            "telephone_number": "303-854-9888",
            "fax_number": "720-501-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUT-PADOVANI",
        "first_name": "ANGEL",
        "name_prefix": "Mrs.",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "243U00000X",
            "taxonomy_group": "",
            "desc": "Radiology Practitioner Assistant",
            "state": "UT",
            "license": "09M01394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 3, 2020; 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.