Individual provider Active NPI

Lisa Ann Badon, M.D.

  • Pediatrics Physician
  • Wheat Ridge, CO
National Provider Identifier
1750592499
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
DR.0048126 Issued in CO
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
54936331MedicaidCO

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

LicenseStateTypeSpecialty
DR.0048126COMDPediatrics Physician
MD165827ORMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Colorado Current Accepting new patients
Rocky Mountain Pediatrics PC Pediatrics CurrentSince May 1, 2021 Accepting new patients
High Plains Eye Health Center, Inc. PastSince May 1, 2021 Accepting new patients

Locations

2020 Wadsworth Blvd
Ste 16
Lakewood, CO 80214
Phone (303) 233-8701

Interoperability endpoints

  • Direct secure messaging: lbadon168318@direct.childrenscolorado.org
  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.