Individual provider Active NPI

Courtney Rainwater, PA

  • Physician Assistant
  • Westminster, CO
National Provider Identifier
1962136929
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0008317 Issued in CO
Practice address
14300 Orchard Pkwy
Westminster, CO 80023-9206
Phone
(303) 426-1717
NPI assigned
Jul 14, 2022
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0008317 CO Primary

Addresses

Primary practice location

14300 Orchard Pkwy
Westminster, CO 80023-9206

Mailing address

3280 Boulder Cir Unit 102
Broomfield, CO 80023-4280
Phone (720) 841-0601

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240130003686 CO Practitioner - Physician Assistant 3072966647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Heart and Vascular PCGroup PAC ID 8527239805, 33 clinicians

Practice addresses (Care Compare)

14190 Orchard Pkwy
Suite 270
Westminster, CO 80023-9708
Phone (303) 426-1717

780 Simms St
Suite 200
Golden, CO 80401-4725
Phone (303) 595-2727

90 Health Park Dr
Suite 190
Louisville, CO 80027-9586
Phone (303) 595-2727

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0008317COMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Heart and Vascular PC CurrentSince Jan 20, 2024 Accepting new patients
Colorado Heart and Vascular PC CurrentSince Jan 20, 2024 Accepting new patients
Colorado Heart and Vascular PC Past Accepting new patients
Rocky Vista Health Center LLC PastSince Jul 1, 2022 Accepting new patients

Locations

6870 W 52nd Ave
Ste 102
Arvada, CO 80002
Phone (303) 534-0391

780 Simms St
Ste 200
Golden, CO 80401
Phone (303) 595-2727

2030 Mountain View Ave
Ste 220
Longmont, CO 80501
Phone (303) 702-5995

90 Health Park Dr
Ste 190
Louisville, CO 80027
Phone (303) 595-2727

Interoperability endpoints

  • Direct secure messaging: courtney.rainwater.p38@direct.aaspire.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/8078/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1962136929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 BOULDER CIR UNIT 102",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800234280",
            "telephone_number": "720-841-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 ORCHARD PKWY",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800239206",
            "telephone_number": "303-426-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINWATER",
        "first_name": "COURTNEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "0008317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.