NPIMap

Individual provider Active NPI

Emily Sophia Marshall, PA-C

  • Medical Physician Assistant
  • Lafayette, CO
National Provider Identifier
1811285307
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0003915 Issued in CO
Practice address
1000 W South Boulder Rd Ste 200
Lafayette, CO 80026-2088
Phone
(303) 604-5000
Fax
(720) 890-0364
NPI assigned
Jul 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0003915 CO
Medical Physician Assistant 363AM0700X PA.0003915 CO Primary

Addresses

Primary practice location

1000 W South Boulder Rd Ste 200
Lafayette, CO 80026-2088

Mailing address

382 S Arthur Ave
Louisville, CO 80027-3094
Phone (303) 604-5000

Other identifiers 1

IdentifierTypeStateIssuer
41087020MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140603001486 CO Practitioner - Physician Assistant 6002077740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 W S Boulder Rd
Suite 200
Lafayette, CO 80026-2088
Phone (303) 604-5000

1830 N Franklin St
Denver, CO 80218-1128
Phone (303) 604-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0003915COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Valley Gastroenterology Inc. CurrentSince Aug 31, 2015 Accepting new patients
Boulder Valley Gastroenterology Inc. CurrentSince Aug 31, 2015 Accepting new patients

Locations

1755 48th St
Ste 100
Boulder, CO 80301
Phone (720) 932-7714

16677 Lowell Blvd
Ste 200
Broomfield, CO 80023

1830 N Franklin St
Ste 220
Denver, CO 80218

1960 N Ogden St
Ste 210
Denver, CO 80218
Phone (303) 832-9277

1000 W South Boulder Rd
Ste 200
Lafayette, CO 80026
Phone (303) 604-4664

13952 Denver West Pkwy
Ste 100
Lakewood, CO 80401
Phone (303) 271-1112

1551 Professional Ln
Unit 290
Longmont, CO 80501

382 S Arthur Ave
Unit 100
Louisville, CO 80027

382 S Arthur Ave
Louisville, CO 80027

11900 Grant St
Ste 360
Northglenn, CO 80233
Phone (817) 306-5630

Interoperability endpoints

  • Direct secure messaging: e.marshall@gastrorockies.directbygreenway.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 and National Provider Directory roles.

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1811285307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S ARTHUR AVE",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800273094",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W SOUTH BOULDER RD STE 200",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800262088",
            "telephone_number": "303-604-5000",
            "fax_number": "720-890-0364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "EMILY",
        "middle_name": "SOPHIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-18",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0003915",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0003915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41087020",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.