MRS. LISA RACHELLE EVENSON PA-C
NPI 1467523530
Physician Assistant - Medical in Castle Rock, CO

Active since November 12, 2006
1175 S PERRY ST, SUITE 200, CASTLE ROCK, CO 80104(303) 688-3434(303) 688-4454 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lisa Rachelle Evenson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. LISA RACHELLE EVENSON PA-C (NPI 1467523530) is an individual medical provider in Castle Rock, Colorado, licensed in Colorado (2242) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1467523530
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. LISA RACHELLE EVENSONCredential: PA-C
Location Address1175 S PERRY ST, SUITE 200Castle Rock, CO 80104-1969
Mailing Address1175 S Perry St, Suite 200Castle Rock, CO 80104-1969 · (303) 688-3434 · Fax (303) 688-4454
Fax(303) 688-4454
Sole ProprietorNo
Enumeration DateNovember 12, 2006
Last NPPES UpdateJanuary 2, 2013
NPI 1467523530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CO · 2242
1175 S PERRY ST, Castle Rock, CO 80104

Other Names 1

Former Name (1)Miss Lisa Rachelle Nelson

Other Identifiers 1

Medicare PIN807667CO

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
1175 S PERRY ST
CASTLE ROCK, CO 80104
Nurse Practitioner (Adult Health)
1175 S PERRY ST, SUITE 220
CASTLE ROCK, CO 80104
Psychologist (Clinical)
1175 S PERRY ST
CASTLE ROCK, CO 80104
Behavior Technician
1175 S PERRY ST
CASTLE ROCK, CO 80104
Neuromusculoskeletal Medicine & OMM
1175 S PERRY ST
CASTLE ROCK, CO 80104
Behavior Technician
1175 S PERRY ST
CASTLE ROCK, CO 80104
Behavior Technician
1175 S PERRY ST
CASTLE ROCK, CO 80104
Behavior Technician
1175 S PERRY ST
CASTLE ROCK, CO 80104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467523530, enumerated as an "individual" on November 12, 2006.

The provider is located at 1175 S PERRY ST SUITE 200 CASTLE ROCK, CO 80104 and the phone number is (303) 688-3434.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.