Active NPI
Nisa Cheryl Levy, NP
- Gerontology Nurse Practitioner
- Aurora, CO
National Provider Identifier
1063529154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APN.0004260-NP
- Practice address
- 1635 Aurora CT.
Senior'S Clinic, Anschutz Outpatient Pavillion, 5TH Flo
Aurora, CO 80045-1614 - Phone
- (720) 848-1030
- NPI assigned
- Aug 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP4260 | CO | |
| Gerontology Nurse Practitioner | 363LG0600X | APN.0004260-NP | CO | Primary |
Addresses
Primary practice location
1635 Aurora CT.
Senior'S Clinic, Anschutz Outpatient Pavillion, 5TH Flo
Aurora, CO 80045-1614
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Phone (303) 493-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90423348 | Medicaid | CO |
Other names 1
- Nisa Cheryl Cohen
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
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4260 | CO | MD | Clinical Child & Adolescent Psychologist |
| NP4260 | CO | MD | Nurse Practitioner |
| APN.0004260-NP | CO | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1063529154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 110429",
"city": "AURORA",
"state": "CO",
"postal_code": "800420429",
"telephone_number": "303-493-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1635 AURORA CT.",
"address_2": "SENIOR'S CLINIC, ANSCHUTZ OUTPATIENT PAVILLION, 5TH FLO",
"city": "AURORA",
"state": "CO",
"postal_code": "800451614",
"telephone_number": "720-848-1030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVY",
"first_name": "NISA",
"middle_name": "CHERYL",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "NP4260",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "APN.0004260-NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90423348",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NISA",
"last_name": "COHEN",
"middle_name": "CHERYL",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.