=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013272871
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALLISON ANN VILLEGAS PA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/09/2012
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7625 W 92ND AVE
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80021-4567
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-254-7463
-----------------------------------------------------
Fax | 303-650-2287
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7135 GLADIOLA ST
-----------------------------------------------------
City | ARVADA
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80004-1019
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363AM0700X
-----------------------------------------------------
Taxonomy Name | Medical Physician Assistant
-----------------------------------------------------
License Number | 0003474
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------