Ethan Doe

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

RN.1675791 Issued in CO

Practice address

3180 Airport Rd
Boulder, CO 80301-2208

Phone

(303) 447-1665

NPI assigned

Oct 31, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1761868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1134098833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11823 RIDGE PKWY APT 817",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800215099",
            "telephone_number": "708-941-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 AIRPORT RD",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012208",
            "telephone_number": "303-447-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOE",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-31",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CO",
            "license": "RN.1675791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana M DO Valle, OTR
• Sarah Dobson
• Janis Dochterman, MA, LPCC, RYT
• John R Dodge, DMD,MS
• William Harold Dodson III, MD
• Hannah Doenlen
• Tracy Doering
• Amanda Masek Doetsch, PA-C
• Dirk Dolbeare, MD
• Barbora Dolejsova

• Case Management Registered Nurse in Boulder, CO
• Providers in Boulder, CO by specialty
• Case Management Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.