Active NPI
Family Practice Associates PC
- Family Medicine Physician
- Broomfield, CO
National Provider Identifier
1952593873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY PRACTICE ASSOCIATES PC
- Practice address
- 433 Summit Blvd Unit 201
Broomfield, CO 80021-8299 - Phone
- (303) 673-9090
- Fax
- (303) 673-9195
- NPI assigned
- Aug 14, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angie Martin
- Title
- Office Manager
- Phone
- (303) 673-9090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
433 Summit Blvd Unit 201
Broomfield, CO 80021-8299
Mailing address
433 Summit Blvd Unit 201
Broomfield, CO 80021-8299
Phone (303) 673-9090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 49958372 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 06D0943685 | Family Practice Associates, PC | Provider-performed microscopy | Mar 30, 2028 |
National Provider Directory
National Provider DirectoryLocations
433 Summit Blvd
Unit 201
Broomfield, CO 80021
Phone (303) 673-9090
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBHGDD
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Broomfield, CO
- NPI 1073514188
-
- Medical Physician Assistant
- Broomfield, CO
- NPI 1013105105
-
- Family Nurse Practitioner
- Broomfield, CO
- NPI 1336494186
-
- Family Nurse Practitioner
- Broomfield, CO
- NPI 1447542642
-
- Family Nurse Practitioner
- Broomfield, CO
- NPI 1518234384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1583452800000",
"number": "1952593873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "433 SUMMIT BLVD UNIT 201",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800218299",
"telephone_number": "303-673-9090",
"fax_number": "303-673-9195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "433 SUMMIT BLVD UNIT 201",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800218299",
"telephone_number": "303-673-9090",
"fax_number": "303-673-9195"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY PRACTICE ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-14",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A",
"authorized_official_last_name": "MARTIN",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "303-673-9090"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "49958372",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.