Active NPI
Josiah Nunziato, PA-C
- Medical Physician Assistant
- Lafayette, CO
National Provider Identifier
1891375713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 1455 Dixon Ave
Lafayette, CO 80026-8879 - Phone
- (303) 443-8500
- NPI assigned
- Apr 13, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
1455 Dixon Ave
Lafayette, CO 80026-8879
Mailing address
1455 Dixon Ave
Lafayette, CO 80026-8879
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1455 Dixon Ave
Lafayette, CO 80026-8879
Phone (303) 443-8500
Hospital & facility affiliations
- Boulder Community Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Clinica Campesina Family Health Services | Current | Accepting new patients |
Locations
1000 Alpine Ave
Boulder, CO 80304
Phone (303) 332-1250
1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061
1455 Dixon Ave
Ste 300
Lafayette, CO 80026
Phone (303) 604-4244
1455 Dixon Ave
Lafayette, CO 80026
Phone (720) 406-3604
1735 S Public Rd
Ste 203
Lafayette, CO 80026
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.
-
- Clinic/Center
- Lafayette, CO
- NPI 1225025406
-
- Federally Qualified Health Center (FQHC)
- Thornton, CO
- NPI 1093702177
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmont, CO
- NPI 1558109223
Hospital & facility affiliations 34
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sleep Disorder Diagnostic Clinic/Center
- Boulder, CO
- NPI 1093357907
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676419200000",
"number": "1891375713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 DIXON AVE",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800268879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 DIXON AVE",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800268879",
"telephone_number": "303-443-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNZIATO",
"first_name": "JOSIAH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-13",
"last_updated": "2023-02-15",
"certification_date": "2023-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.