Provider Demographics
NPI:1497741250
Name:HASTINGS, SHEILA (PA)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:
Last Name:HASTINGS
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-750-0822
Mailing Address - Fax:303-750-1298
Practice Address - Street 1:1444 S POTOMAC ST
Practice Address - Street 2:SUITE 300
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4508
Practice Address - Country:US
Practice Address - Phone:303-750-0822
Practice Address - Fax:303-750-1298
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1250363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE10026283100Medicaid
CO33123535Medicaid
KS201038590AMedicaid
NE10026280700Medicaid
NE10026281200Medicaid
NE1982948089Medicaid
NE10026280600Medicaid
NE10026280800Medicaid
NE10026281000Medicaid
KS201038590AMedicaid
NE10026280600Medicaid
COC530728Medicare PIN
NE10026281000Medicaid
NE10026283100Medicaid