Individual provider Active NPI

Stephanie A Lavigne, PA-C

  • Physician Assistant
  • Denver, CO
National Provider Identifier
1881036705
Registry record updated Sep 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4637 Issued in CO
Practice address
919 Jasmine St
Denver, CO 80220-4588
Phone
(303) 388-4256
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 002426 IA
Physician Assistant 363A00000X 5601007109 MI
Physician Assistant 363A00000X 4637 CO Primary

Addresses

Primary practice location

919 Jasmine St
Denver, CO 80220-4588

Mailing address

919 Jasmine St
Denver, CO 80220-4588
Phone (303) 388-4256

Other practice location 1

505 N. Clippert St.
Lansing, MI 48912
Phone (517) 999-2273

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
002426IAMDOptometrist
4637COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Pediatrics, P.C. PastSince May 7, 2023 Accepting new patients
Lansing Urgent Care, PLC Past Accepting new patients
Partners in Pediatrics, P.C. PastSince Nov 22, 2020 Accepting new patients
Linn County Emergency Medicine PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: stephanie.lavigne.1@13728.direct.athenahealth.com

Organizations & group practices 4

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": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1881036705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 JASMINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204588",
            "telephone_number": "303-388-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 JASMINE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802204588",
            "telephone_number": "303-388-4256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 N. Clippert St.",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "48912",
            "country_code": "US",
            "telephone_number": "517-999-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "002426",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007109",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "4637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.