Individual provider Active NPI

Marie Amina Aryan, NP-C

  • Family Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1215283304
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0990424 Issued in CO
Practice address
1990 S Garrison St Ste 1
Lakewood, CO 80227-2244
Phone
(303) 578-8191
NPI assigned
Jul 26, 2012
Last updated
Jan 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0990424 CO Primary

Addresses

Primary practice location

1990 S Garrison St Ste 1
Lakewood, CO 80227-2244

Mailing address

1990 S Garrison St Ste 1
Lakewood, CO 80227-2244
Phone (303) 578-8191

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
I20121015000684 CO Practitioner - Nurse Practitioner 2769632405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1990 S Garrison St
Suite 1
Lakewood, CO 80227-2244
Phone (303) 578-8191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0990424COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Family Health Clinic LLC Family CurrentSince Feb 6, 2017 Accepting new patients

Locations

1990 S Garrison St
Ste 1
Lakewood, CO 80227
Phone (303) 578-8191

Organizations & group practices 1

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": "1343260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1215283304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 S GARRISON ST STE 1",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272244",
            "telephone_number": "303-578-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 S GARRISON ST STE 1",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802272244",
            "telephone_number": "303-578-8191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARYAN",
        "first_name": "MARIE",
        "middle_name": "AMINA",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-26",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0990424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.