Active NPI
Debra Ann Iverson, FNP-C, CNS, BC-ADM
- Family Nurse Practitioner
- Westminster, CO
National Provider Identifier
1164448221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 0991009
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20620106 | Other | NCBDE-CERTIFIED DIABETES EDUCATOR | |
| 20130117352 | Other | FNP CERTIFICATION (ANCC) | |
| 200600694 | Other | BC-ADM ADVANCED DIABETES MANAGEMENT | |
| 79473 | Other | CO | COLORADO BOARD OF NURSING |
| APN.0991009-NP | Other | CO | COLORADO 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0991009 | CO | MD | Family Nurse Practitioner |
| 79473 | CO | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inner City Health Center | Current | Accepting new patients | |
| Inner City Health Center | Current | Accepting new patients | |
| Cor Medical LLC | Past | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Denver, CO
- NPI 1578539979
-
- Federally Qualified Health Center (FQHC)
- Wheat Ridge, CO
- NPI 1013491208
-
dba Cor Medical Broomfield
- Internal Medicine Physician
- Broomfield, CO
- NPI 1841822277
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
- Gretchen O. Irene, MS, CCC-SLP
- Luis Ernesto Irene II
- Silvina Beatriz Irimia
- Jacenta Lynn Irlanda, LPC
- Christopher Isbell, LPC
- J and J LLC (Comfort Dental Oral Surgery Northwest)
- J Medical Inc (Therahand Physical Therapy)
- J. Marc Carpenter DDS, P.C.
- Michele L Jablonka, OD
- Joni Collette Jackson-Malavasi, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.