Individual provider Active NPI

Stefanie J Throlson, ANP

  • Adult Health Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1124259114
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
NP10067 Issued in CO
Practice address
1400 S Potomac St
#210
Aurora, CO 80012-4528
Phone
(303) 873-5800
Fax
(303) 671-4968
NPI assigned
Aug 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X NP10067 CO Primary

Addresses

Primary practice location

1400 S Potomac St
#210
Aurora, CO 80012-4528

Mailing address

4900 S Monaco St
#210
Denver, CO 80237-3486
Phone (303) 873-5800

Other identifiers 1

IdentifierTypeStateIssuer
08002371MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jan 1, 2021 Accepting new patients
Healthone Clinic Services - Surgery Neurological LLC CurrentSince Nov 3, 2012 Accepting new patients

Locations

1444 S Potomac St
Ste 170
Aurora, CO 80012
Phone (303) 481-0030

1400 S Potomac St
Ste 210
Aurora, CO 80012
Phone (303) 695-2663

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

4900 S Monaco St
Ste 210
Denver, CO 80237

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

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.

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1124259114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "#210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-873-5800",
            "fax_number": "303-671-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S POTOMAC ST",
            "address_2": "#210",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124528",
            "telephone_number": "303-873-5800",
            "fax_number": "303-671-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THROLSON",
        "first_name": "STEFANIE",
        "middle_name": "J",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-07",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "NP10067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08002371",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.