Individual provider Active NPI

Mona Lilly Shirazi Welz, FNP-C

  • Family Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1124683602
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994482-NP Issued in CO
Practice address
1667 Cole Blvd Ste 200
Lakewood, CO 80401-3320
Phone
(303) 653-4822
NPI assigned
May 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1618757 CO
Family Nurse Practitioner 363LF0000X APN.0994482-NP CO Primary

Addresses

Primary practice location

1667 Cole Blvd Ste 200
Lakewood, CO 80401-3320

Mailing address

1667 Cole Blvd
Lakewood, CO 80401-3300
Phone (303) 420-3131

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

State licenses

LicenseStateTypeSpecialty
RN.1618757COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Allergy and Asthma Centers, PC CurrentSince Jul 25, 2021 Accepting new patients

Locations

125 Rampart Way
Ste 200
Denver, CO 80230
Phone (720) 858-7550

1667 Cole Blvd
Ste 200
Lakewood, CO 80401
Phone (303) 420-3131

Organizations & group practices 1

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": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1124683602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 COLE BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013300",
            "telephone_number": "303-420-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 COLE BLVD STE 200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013320",
            "telephone_number": "303-653-4822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELZ",
        "first_name": "MONA",
        "middle_name": "LILLY SHIRAZI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-09",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1618757",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994482-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.