Active NPI
Teresa Wolanski
- Pediatric Nurse Practitioner
- Denver, CO
National Provider Identifier
1154705135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN.0993020-NP
- Practice address
- 2055 N High St
Denver, CO 80205 - Phone
- (303) 301-9019
- NPI assigned
- Jul 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 041385993 | IL | |
| Pediatric Nurse Practitioner | 363LP0200X | APN.0993020-NP | CO | Primary |
Addresses
Primary practice location
2055 N High St
Denver, CO 80205
Mailing address
2763 Dharma Ave
Broomfield, CO 80020-5480
Phone (708) 745-0172
Other practice location 1
5027 Briartree Ln
Unit 213
Burbank, IL 60459-3003
Phone (708) 745-0172
Other practice location 2
2055 N High St
Denver, CO 80205
Phone (303) 301-9019
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0993020-NP | CO | MD | Pediatric Nurse Practitioner |
| 041385993 | IL | MD | Pediatric Nurse Practitioner |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BAGECD/Endpoint/BAGECD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1154705135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2763 DHARMA AVE",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800205480",
"telephone_number": "708-745-0172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 N HIGH ST",
"city": "DENVER",
"state": "CO",
"postal_code": "80205",
"telephone_number": "303-301-9019"
}
],
"practiceLocations": [
{
"address_1": "5027 Briartree Ln",
"address_2": "Unit 213",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "IL",
"postal_code": "604593003",
"country_code": "US",
"telephone_number": "708-745-0172",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2055 N High St",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "80205",
"country_code": "US",
"telephone_number": "303-301-9019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOLANSKI",
"first_name": "TERESA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-19",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "IL",
"license": "041385993",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CO",
"license": "APN.0993020-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.