Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Natalie Lucille Tannenbaum

Individual provider Medical Physician Assistant · NPI 1003492364

Natalie Lucille Tannenbaum is a Physician Assistant in Englewood, Colorado. Qualified in 2021, 5 years ago. Practices with Portercare Adventist Health System, a 767-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

3501 S Clarkson St
Englewood, CO 80113-3916
Phone: (303) 783-8844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9949 S Oswego St Ste 300, Parker, CO 80134-3888 — (303) 925-4638

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X (CO)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA.0006741 (CO)

Record details

NPI number1003492364
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 18, 2021
Last updated in NPPESApril 18, 2023
Certification dateApril 18, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Portercare Adventist Health System — 767 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Englewood