Active NPI
Anna Kristina Melvin, PA-C
- Physician Assistant
- Boulder, CO
National Provider Identifier
1962838433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0003793
- Practice address
- 4747 Arapahoe Ave
Boulder, CO 80303 - Phone
- (303) 306-7783
- Fax
- (303) 306-7753
- NPI assigned
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0003793 | CO | Primary |
Addresses
Primary practice location
4747 Arapahoe Ave
Boulder, CO 80303
Mailing address
PO Box 173894
Denver, CO 80217-3894
Phone (303) 306-7783
Other practice location 1
4600 Hale Pkwy
Suite 100
Denver, CO 80220-4020
Phone (303) 320-5566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 80672221 | Medicaid | CO |
Other names 1
- Anna Kristina Urick
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA.0003793 | CO | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Philippe a Capraro MD PC | Past | Accepting new patients | |
| Boulder Community Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Boulder, CO
- NPI 1609822030
-
- Specialist
- Denver, CO
- NPI 1083823736
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1962838433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173894",
"city": "DENVER",
"state": "CO",
"postal_code": "802173894",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 ARAPAHOE AVE",
"city": "BOULDER",
"state": "CO",
"postal_code": "80303",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [
{
"address_1": "4600 Hale Pkwy",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802204020",
"country_code": "US",
"telephone_number": "303-320-5566",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MELVIN",
"first_name": "ANNA",
"middle_name": "KRISTINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-17",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "PA.0003793",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "80672221",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "URICK",
"middle_name": "KRISTINA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.