Active NPI
Veranique Nodine, REGISTERED NURSE
- Community Health Registered Nurse
- Divide, CO
National Provider Identifier
1043885205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 28154699A
- Practice address
- 11115 W Hwy 24, Unit 2C
Divide, CO 80814 - Phone
- (719) 687-6416
- NPI assigned
- May 20, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 28154699A | IN | Primary |
Addresses
Primary practice location
11115 W Hwy 24, Unit 2C
Divide, CO 80814
Mailing address
P.O. Box 928
11115 W. Hwy. 24, Unit 2C
Divide, CO 80814
Phone (719) 687-6416
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28154699A | IN | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teller County | Past | Accepting new patients | |
| Teller County Public Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- State or Local Public Health Clinic/Center
- Divide, CO
- NPI 1104998822
-
- Public Health or Welfare Agency
- Divide, CO
- NPI 1417191933
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1043885205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 928",
"address_2": "11115 W. HWY. 24, UNIT 2C",
"city": "DIVIDE",
"state": "CO",
"postal_code": "80814",
"telephone_number": "719-687-6416",
"fax_number": "719-687-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11115 W HWY 24, UNIT 2C",
"city": "DIVIDE",
"state": "CO",
"postal_code": "80814",
"telephone_number": "719-687-6416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NODINE",
"first_name": "VERANIQUE",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-20",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "IN",
"license": "28154699A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Divide, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.