Active NPI
Alison Johanna Rathbun, PA-C
- Physician Assistant
- Englewood, CO
National Provider Identifier
1811394604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0004146
- Practice address
- 6081 S Quebec St
Suite 200
Englewood, CO 80111-4536 - Phone
- (303) 721-7330
- NPI assigned
- Nov 23, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0004146 | CO | Primary |
Addresses
Primary practice location
6081 S Quebec St
Suite 200
Englewood, CO 80111-4536
Mailing address
2859 S Depew St
Denver, CO 80227-4138
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0004146 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1811394604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2859 S DEPEW ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802274138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6081 S QUEBEC ST",
"address_2": "SUITE 200",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801114536",
"telephone_number": "303-721-7330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHBUN",
"first_name": "ALISON",
"middle_name": "JOHANNA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-23",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0004146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.