Individual provider Active NPI

Christa Paige Lynn, PA

  • Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1851676340
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0005171 Issued in CO
Practice address
1035 Garden of the Gods Rd Ste 120
Colorado Springs, CO 80907-9427
Phone
(719) 329-1000
NPI assigned
Oct 15, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA9105727 FL
Medical Physician Assistant 363AM0700X PA9105727 FL
Physician Assistant 363A00000X PA.0005171 CO Primary

Addresses

Primary practice location

1035 Garden of the Gods Rd Ste 120
Colorado Springs, CO 80907-9427

Mailing address

2695 Rocky Mountain Ave Ste 150
Loveland, CO 80538-9071
Phone (970) 624-4034

Other practice location 1

2645 S. Douglas Road Suite 502
miami, FL 33133
Phone (305) 448-8134

Other practice location 2

2645 S. Douglas Road Suite 502
miami, FL 33133
Phone (305) 448-8134

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.0005171COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Marshall Amaya & Anton P L Physician Assistant Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851676340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 ROCKY MOUNTAIN AVE STE 150",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805389071",
            "telephone_number": "970-624-4034",
            "fax_number": "970-490-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 GARDEN OF THE GODS RD STE 120",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809079427",
            "telephone_number": "719-329-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2645 S. Douglas Road Suite 502",
            "address_purpose": "LOCATION",
            "city": "miami",
            "state": "FL",
            "postal_code": "33133",
            "country_code": "US",
            "telephone_number": "305-448-8134",
            "fax_number": "305-445-2691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2645 S. Douglas Road Suite 502",
            "address_purpose": "LOCATION",
            "city": "miami",
            "state": "FL",
            "postal_code": "33133",
            "country_code": "US",
            "telephone_number": "305-448-8134",
            "fax_number": "305-445-2691",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LYNN",
        "first_name": "CHRISTA",
        "middle_name": "PAIGE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "PA9105727",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105727",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.