Active NPI
Nichole Christiana Larez, MSN, NNP-BC
- Neonatal Nurse Practitioner
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- APN.0994912-NP
- Practice address
- 777 Bannock St
Denver, CO 80204-4597 - Phone
- (303) 602-9250
- Fax
- (303) 602-9262
- NPI assigned
- Jul 22, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Neonatal Nurse Practitioner | 363LN0000X | APN.0994912-NP | CO | Primary |
Addresses
Primary practice location
777 Bannock St
Denver, CO 80204-4597
Mailing address
777 Bannock St
Denver, CO 80204-4597
Phone (303) 602-9250
Other practice location 1
13123 E 16th Ave
Aurora, CO 80045-7106
Phone (720) 777-6857
Other practice location 2
1024 S LeMay Ave
Fort Collins, CO 80524-3929
Phone (970) 495-7000
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
- Master of Science - Nursing, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Children'S Hospital Colorado | Current | Accepting new patients | |
| Denver Health and Hospital Authority | Current | Accepting new patients | |
| Poudre Valley Medical Group, LLC | Past | Accepting new patients |
Locations
13123 E 16th Ave
Aurora, CO 80045
Phone (720) 777-3846
777 Bannock St
#1923
Denver, CO 80204
Phone (303) 602-2720
777 Bannock St
Denver, CO 80204
Interoperability endpoints
- nlarez39288@direct.childrenscolorado.org
Organizations & group practices 4
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.
-
- General Practice Physician
- Denver, CO
- NPI 1477569838
-
- Clinical Social Worker
- Aurora, CO
- NPI 1174282776
-
- Psychiatric Hospital Unit
- Denver, CO
- NPI 1689624942
-
- General Practice Physician
- Loveland, CO
- NPI 1366763260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725840000000",
"number": "1184277816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-602-9250",
"fax_number": "303-602-9262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 BANNOCK ST",
"city": "DENVER",
"state": "CO",
"postal_code": "802044597",
"telephone_number": "303-602-9250",
"fax_number": "303-602-9262"
}
],
"practiceLocations": [
{
"address_1": "13123 E 16th Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800457106",
"country_code": "US",
"telephone_number": "720-777-6857",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1024 S LeMay Ave",
"address_purpose": "LOCATION",
"city": "Fort Collins",
"state": "CO",
"postal_code": "805243929",
"country_code": "US",
"telephone_number": "970-495-7000",
"fax_number": "970-495-7837",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAREZ",
"first_name": "NICHOLE",
"middle_name": "CHRISTIANA",
"name_prefix": "Mrs.",
"credential": "MSN, NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2024-09-09",
"certification_date": "2024-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "CO",
"license": "APN.0994912-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
- Laradon Hall Society for Exceptional Children and Adults
- Laradon Hall Society for Exceptional Children and Adults
- Laradon Hall Society for Exceptional Children and Adults
- Laradon Hall Society for Exceptional Children and Adults
- Nicole Lardner
- Larimer Square Professional Dental Group LLC
- Lark Medical Group, PLLC
- Brian James Larkin, MD
- John Clement Larkin, MT
- Ryan Colleen Larkin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.