Individual provider Active NPI

Debra Ann Iverson, FNP-C, CNS, BC-ADM

  • Family Nurse Practitioner
  • Westminster, CO
National Provider Identifier
1164448221
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0991009 Issued in CO
Practice address
10485 N. Sheridan Blvd
Unit #200
Westminster, CO 80020
Phone
(303) 466-8344
Fax
(303) 586-2250
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 79473 CO
Family Nurse Practitioner 363LF0000X 0991009 CO Primary

Addresses

Primary practice location

10485 N. Sheridan Blvd
Unit #200
Westminster, CO 80020

Mailing address

10485 N. Sheridan Blvd
Unit #200
Westminster, CO 80020
Phone (303) 466-8344

Other identifiers 5

IdentifierTypeStateIssuer
20620106OtherNCBDE-CERTIFIED DIABETES EDUCATOR
20130117352OtherFNP CERTIFICATION (ANCC)
200600694OtherBC-ADM ADVANCED DIABETES MANAGEMENT
79473OtherCOCOLORADO BOARD OF NURSING
APN.0991009-NPOtherCOCOLORADO BOARD OF NURSING

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
I20140721001464 CO Practitioner - Nurse Practitioner 6305062704 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0991009COMDFamily Nurse Practitioner
79473COMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Inner City Health Center CurrentSince Jul 25, 2018 Accepting new patients
Inner City Health Center CurrentSince Jul 25, 2018 Accepting new patients
Cor Medical LLC PastSince Apr 1, 2020 Accepting new patients

Locations

3800 N York St
Denver, CO 80205
Phone (303) 296-1767

6301 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 940-9118

Interoperability endpoints

  • Direct secure messaging: debra.iverson.1@23284.direct.athenahealth.com

Organizations & group practices 3

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1164448221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10485 N. SHERIDAN BLVD",
            "address_2": "UNIT #200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "303-466-8344",
            "fax_number": "303-586-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10485 N. SHERIDAN BLVD",
            "address_2": "UNIT #200",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "80020",
            "telephone_number": "303-466-8344",
            "fax_number": "303-586-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IVERSON",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "credential": "FNP-C, CNS, BC-ADM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "CO",
            "license": "79473",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0991009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBDE-CERTIFIED DIABETES EDUCATOR",
            "identifier": "20620106",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP CERTIFICATION (ANCC)",
            "identifier": "20130117352",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-ADM ADVANCED DIABETES MANAGEMENT",
            "identifier": "200600694",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO BOARD OF NURSING",
            "identifier": "79473",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO BOARD OF NURSING",
            "identifier": "APN.0991009-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.