Individual provider Active NPI

Victoria Eve Carrillo, FNP-C

  • Primary Care Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1194687038
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
1001423 Issued in CO
Practice address
274 Union Blvd
Lakewood, CO 80228-1813
Phone
(303) 327-4700
Fax
(303) 327-4711
NPI assigned
Dec 1, 2025
Last updated
Apr 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.1001423-NP CO
Primary Care Nurse Practitioner 363LP2300X 1001423 CO Primary

Addresses

Primary practice location

274 Union Blvd
Lakewood, CO 80228-1813

Mailing address

274 Union Blvd Ste 110
Lakewood, CO 80228-1836
Phone (720) 536-2100

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
I20251218001379 CO Practitioner - Nurse Practitioner 8729573639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Colorado School of Medicine, Aurora, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13901 E Exposition Ave
Suite 202
Aurora, CO 80012-2552

532 S Union Blvd
Lakewood, CO 80228-2926

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.1001423-NPCOMDFamily Nurse Practitioner
1001423COMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Nephrologists, PC CurrentSince Dec 9, 2025 Accepting new patients
Denver Nephrologists PC CurrentSince Dec 9, 2025 Accepting new patients

Locations

1411 S Potomac St
Ste 200
Aurora, CO 80012
Phone (303) 367-2225

130 Rampart Way
Ste 300B
Denver, CO 80230
Phone (303) 343-4700

13901 E Exposition Ave
Ste 202
Denver, CO 80012
Phone (720) 413-1693

274 Union Blvd
Ste 110
Lakewood, CO 80228
Phone (720) 536-2100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1764547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1194687038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 UNION BLVD STE 110",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281836",
            "telephone_number": "720-536-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 UNION BLVD",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281813",
            "telephone_number": "303-327-4700",
            "fax_number": "303-327-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "VICTORIA",
        "middle_name": "EVE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-01",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.1001423-NP",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "1001423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.