Individual provider Active NPI

Nardos Workneh

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1033873096
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0996789-NP Issued in CO
Practice address
6850 E Evans Ave
Denver, CO 80224-2300
Phone
(575) 408-2430
NPI assigned
Oct 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0996789-NP CO Primary

Addresses

Primary practice location

6850 E Evans Ave
Denver, CO 80224-2300

Mailing address

2367 S Blackhawk St
Aurora, CO 80014-1577

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220323002020 CO Practitioner - Nurse Practitioner 4789079054 Reassigns benefits to 2 organizations
I20240311003079 IL Practitioner - Nurse Practitioner 4789079054 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0996789-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central PA Pharmacy LLC. Current Accepting new patients
Colorado Urgent Care PLLC CurrentSince Oct 25, 2022 Accepting new patients
Rocky Mountain Medical & Health Care, Inc. Family CurrentSince Mar 1, 2022 Accepting new patients
Colorado Urgent Care PLLC CurrentSince Oct 25, 2022 Accepting new patients
Rocky Mountain Medical & Health Care, Inc. Family CurrentSince Oct 31, 2021 Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 1, 2023 Accepting new patients

Locations

18890 E Hampden Ave
Aurora, CO 80013
Phone (303) 617-1604

9450 E Mississippi Ave
Unit B
Denver, CO 80247
Phone (303) 696-1395

6850 E Evans Ave
Ste 102
Denver, CO 80224
Phone (303) 691-5009

6850 E Evans Ave
Denver, CO 80224
Phone (303) 691-5009

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1033873096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2367 S BLACKHAWK ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800141577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 E EVANS AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802242300",
            "telephone_number": "575-408-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORKNEH",
        "first_name": "NARDOS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-26",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0996789-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.