Individual provider Active NPI

Laura Kay Villasenor, FNP-BC

  • Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1104170323
Registry record updated Sep 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0993693-NP Issued in CO
Practice address
10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone
(303) 761-9190
Fax
(720) 874-4462
NPI assigned
Nov 9, 2012
Last updated
Sep 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 22221 CA
Nurse Practitioner 363L00000X APN.0993693-NP CO Primary

Addresses

Primary practice location

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895

Mailing address

10800 E Geddes Ave Ste 300
Englewood, CO 80112-3895
Phone (303) 761-9190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230109002441 CO Practitioner - Nurse Practitioner 7719117829 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colorado Primary Care Clinic IncGroup PAC ID 3173655032, 5 clinicians

Practice addresses (Care Compare)

14991 E Hampden Ave
Suite 110
Aurora, CO 80014-3980
Phone (303) 343-9500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22221CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Family Medicine and Mat CurrentSince Sep 27, 2025 Accepting new patients
Colorado Primary Care Clinic Inc Nurse Practitioner CurrentSince Dec 30, 2025 Accepting new patients

Locations

14991 E Hampden Ave
Ste 110
Aurora, CO 80014
Phone (303) 343-9500

2283 S Monaco Street Pkwy
Ste 105
Denver, CO 80222
Phone (720) 531-2370

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1104170323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 E GEDDES AVE STE 300",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801123895",
            "telephone_number": "303-761-9190",
            "fax_number": "720-874-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLASENOR",
        "first_name": "LAURA",
        "middle_name": "KAY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-09",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "22221",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0993693-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.