Active NPI
Edmond C. Hauser, NP
- Gerontology Nurse Practitioner
- Wheat Ridge, CO
National Provider Identifier
1255096723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APN.0996808-NP
- Practice address
- 10900 W 44TH Ave
Wheat Ridge, CO 80033-2761 - Phone
- (303) 993-1330
- NPI assigned
- Nov 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | APN.0996808-NP | CO | Primary |
Addresses
Primary practice location
10900 W 44TH Ave
Wheat Ridge, CO 80033-2761
Mailing address
45728 Coal Creek Dr
Parker, CO 80138-4341
Phone (303) 809-1699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0996808-NP | CO | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635724800000",
"number": "1255096723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45728 COAL CREEK DR",
"city": "PARKER",
"state": "CO",
"postal_code": "801384341",
"telephone_number": "303-809-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10900 W 44TH AVE",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800332761",
"telephone_number": "303-993-1330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAUSER",
"first_name": "EDMOND",
"middle_name": "C.",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-01",
"last_updated": "2021-11-01",
"certification_date": "2021-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "APN.0996808-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.