Beth Ann Weidner, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0990379-NP Issued in CO

Practice address

5920 McIntyre St
Golden, CO 80403-7445

Phone

(303) 949-1250

NPI assigned

Sep 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bethann.weidner.p5@direct.mydohc.nextgenshare.com

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.

• Desert Medical Group, Inc.

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114918612
  Medicare reassignment NPD
• Yun W Kim, MD, PA

  • Family Medicine Physician
  • Austin, TX
  • NPI 1588005672
  NPD
• Inpatient Consultants of Colorado, PC

  • Internal Medicine Physician
  • Denver, CO
  • NPI 1538461256

  Nurse Practitioner

  NPD (past)
• Geriatric Associates of America-Texas, PLLC

  • Internal Medicine Physician
  • Webster, TX
  • NPI 1669682886

  Family

  NPD (past)
• Geriatric Associates of America, P.a.

  • Geriatric Medicine (Family Medicine) Physician
  • Houston, TX
  • NPI 1093768673
  NPD (past)
• Preventiamed, PA

  • Internal Medicine Physician
  • West Lake Hills, TX
  • NPI 1134344625

  Nurse Practitioner

  NPD (past)

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592352000000",
    "number": "1265628606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52775 AVENIDA RAMIREZ",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922535300",
            "telephone_number": "512-689-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 MCINTYRE ST",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804037445",
            "telephone_number": "303-949-1250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52775 Avenida Ramirez",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922535300",
            "country_code": "US",
            "telephone_number": "512-689-8088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 N El Cielo Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922626972",
            "country_code": "US",
            "telephone_number": "512-689-8088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEIDNER",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2020-06-17",
        "certification_date": "2020-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95006166",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "514070",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0990379-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94535272",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Kelton Webber, MA, CCC-SLP
• Abigail Paige Weber, DPT
• Riley Weber, BCBA, LSW
• Stephanie Weeden, LMFT
• Wallace Corey Weekes, D.C.
• Carissa Deanne Weinfeld, PA-C
• Matthew Alan Weinstock-Collins, DPT
• Well Nourished LLC
• Marion Wells, PA-C
• Wellue Clinic

• Nurse Practitioner in Golden, CO
• Providers in Golden, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2020; 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.

Verify at the official NPI Registry.