Active NPI
Lisa Ann Badon, M.D.
- Pediatrics Physician
- Wheat Ridge, CO
National Provider Identifier
1750592499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- DR.0048126
- Practice address
- 3555 Lutheran Pkwy Ste 340
Wheat Ridge, CO 80033-6039 - Phone
- (303) 996-6005
- Fax
- (303) 420-8831
- NPI assigned
- May 24, 2007
- Last updated
- Sep 6, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD165827 | OR | |
| Pediatrics Physician | 208000000X | DR.0048126 | CO | Primary |
Addresses
Primary practice location
3555 Lutheran Pkwy Ste 340
Wheat Ridge, CO 80033-6039
Mailing address
2020 Wadsworth Blvd Ste 16
Lakewood, CO 80214-5730
Phone (303) 233-8701
Other practice location 1
8129 W Eastman Pl Unit 10-101
Lakewood, CO 80227-6245
Phone (318) 780-5601
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54936331 | Medicaid | CO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0048126 | CO | MD | Pediatrics Physician |
| MD165827 | OR | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children's Hospital Colorado | Current | Accepting new patients | |
| Rocky Mountain Pediatrics PC | Pediatrics | Current | Accepting new patients |
| High Plains Eye Health Center, Inc. | Past | Accepting new patients |
Locations
2020 Wadsworth Blvd
Ste 16
Lakewood, CO 80214
Phone (303) 233-8701
Interoperability endpoints
- lbadon168318@direct.childrenscolorado.org
- lisa.badon.1@14034.direct.athenahealth.com
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.
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Pediatrics Physician
- Lakewood, CO
- NPI 1538152442
-
- Optometrist
- Amarillo, TX
- NPI 1891859005
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1750592499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 WADSWORTH BLVD STE 16",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802145730",
"telephone_number": "303-233-8701",
"fax_number": "303-233-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3555 LUTHERAN PKWY STE 340",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336039",
"telephone_number": "303-996-6005",
"fax_number": "303-420-8831"
}
],
"practiceLocations": [
{
"address_1": "8129 W Eastman Pl Unit 10-101",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "CO",
"postal_code": "802276245",
"country_code": "US",
"telephone_number": "318-780-5601",
"fax_number": "303-420-8831",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BADON",
"first_name": "LISA",
"middle_name": "ANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-24",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD165827",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "DR.0048126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54936331",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.