Individual provider Active NPI

Laura Greenberg, PA-C

  • Physician Assistant
  • Englewood, CO
National Provider Identifier
1710460316
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
901 W Hampden Ave Unit 103
Englewood, CO 80110-7330
Phone
(303) 761-1699
NPI assigned
Sep 10, 2018
Last updated
May 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

901 W Hampden Ave Unit 103
Englewood, CO 80110-7330

Mailing address

5600 S Quebec St Ste 312a
Greenwood Village, CO 80111-2208

Other practice location 1

501 E Hampden Ave
Englewood, CO 80113-2795
Phone (303) 788-5000

Other practice location 2

5102 S Broadway
Englewood, CO 80113-6706
Phone (720) 457-9100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204000188 CO Practitioner - Physician Assistant 9739423690 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Urgent Care Physicians, PC CurrentSince Aug 27, 2023 Accepting new patients

Locations

5102 S Broadway
Englewood, CO 80113
Phone (720) 457-9100

901 W Hampden Ave
Unit 103
Englewood, CO 80110
Phone (303) 761-1699

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1710460316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 S QUEBEC ST STE 312A",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801112208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W HAMPDEN AVE UNIT 103",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801107330",
            "telephone_number": "303-761-1699"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 E Hampden Ave",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801132795",
            "country_code": "US",
            "telephone_number": "303-788-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5102 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Englewood",
            "state": "CO",
            "postal_code": "801136706",
            "country_code": "US",
            "telephone_number": "720-457-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREENBERG",
        "first_name": "LAURA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.