NPI 1609104629 · live from the CMS NPI Registry
Tracy Anderson-Dawson, PA-C
Physician Assistant in Lakewood, CO. National Provider Identifier 1609104629, active.
NPI record
| NPI | 1609104629 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1746 Cole Blvd Ste 100, Lakewood, CO 80401 |
| Practice phone | 303-914-8800 |
| Enumerated | December 2, 2009 |
| Last updated | September 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Medical | 363AM0700X | 7492194-1206 (UT) |
| Physician Assistant primary | 363A00000X | PA.0009266 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.