NPI 1013674621 · live from the CMS NPI Registry
Tara Adams, MSPAS, PA-C
Physician Assistant, Surgical in Boulder, CO. National Provider Identifier 1013674621, active.
NPI record
| NPI | 1013674621 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 4743 Arapahoe Ave Ste 202, Boulder, CO 80303 |
| Practice phone | 303-938-5700 |
| Mailing address | 2749 Walnut St Apt 419, Denver, CO 80205 |
| Enumerated | November 18, 2021 |
| Last updated | December 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | PA.0007078 (CO) |
| Physician Assistant | 363A00000X | 0007078 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.