Active NPI
Morgan Petrangelo
- Primary Care Nurse Practitioner
- Parker, CO
National Provider Identifier
1053915017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- APN.0996100-NP
- Practice address
- 12230 Lioness Way
Parker, CO 80134-5603 - Phone
- (720) 644-9355
- NPI assigned
- Nov 30, 2020
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | APN.0996100-NP | CO | Primary |
Addresses
Primary practice location
12230 Lioness Way
Parker, CO 80134-5603
Mailing address
12230 Lioness Way
Parker, CO 80134-5603
Phone (720) 644-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| APN.0996100-NP | Other | CO | COLORADO BOARD OF NURSING - NURSE PRACTITIONER APN |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660608000000",
"number": "1053915017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12230 LIONESS WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801345603",
"telephone_number": "720-644-9355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12230 LIONESS WAY",
"city": "PARKER",
"state": "CO",
"postal_code": "801345603",
"telephone_number": "720-644-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETRANGELO",
"first_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-30",
"last_updated": "2022-08-16",
"certification_date": "2022-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CO",
"license": "APN.0996100-NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO BOARD OF NURSING - NURSE PRACTITIONER APN",
"identifier": "APN.0996100-NP",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.