Elizabeth Ann Fash, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2960 Issued in CO

Practice address

6915 Tutt Blvd Ste 100
Colorado Springs, CO 80923-3592

Phone

(719) 330-1375

Fax

(719) 213-2851

NPI assigned

Feb 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 11, 2025 through Feb 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Four Points Family Medical Center Inc

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1306998596
  NPD (past)
• Sunrise Health Care, PC

  • Family Medicine Physician
  • Colorado Springs, CO
  • NPI 1164662052
  NPD (past)

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871825752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9246 ROCK POND WAY",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809242919",
            "telephone_number": "651-303-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 TUTT BLVD STE 100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809233592",
            "telephone_number": "719-330-1375",
            "fax_number": "719-213-2851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Palmer Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809093402",
            "country_code": "US",
            "telephone_number": "719-577-9977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FASH",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Farris, LCSW, LAC
• Kassidy Farris
• Mykenzie Farris
• Timothy Raymond Farris, M.D.
• Abimbola Olufunke Fasawe
• Alessandra Fasolato, L.M.T.
• Bobbie Jo Fassler
• Jacob Daniel Fassman, D.P.M.
• Zita Fataki
• Samantha Marie Fatianow

• All providers in Colorado Springs, CO
• Physician Assistant in Colorado

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.