Diane Rachel Friedman, PA-C
Physician Assistant in Broomfield, CO. Individual provider (NPI-1).
NPI number1306233382
StatusActive
Last updated in NPPESMay 20, 2025
Details
- NPI
- 1306233382
- Entity type
- Individual (NPI-1)
- Name
- Diane Rachel Friedman
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 17, 2015
- Certification date
- May 20, 2025
- Last updated
- May 20, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA0004661 | CO | Yes |
| 363AM0700X | Physician Assistant, Medical | PA0004661 | CO |
Practice location
350 Interlocken Blvd Ste 250Broomfield, CO 80021-8017
Phone 720-724-3668
Mailing address
2119 River Walk LnLongmont, CO 80504-7367
Phone 720-724-3668 · Fax 720-598-0480
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