Individual provider Active NPI

Stacy Colvard Hountras, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1285112946
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0993974 Issued in CO
Practice address
3800 N York St
Denver, CO 80205-3540
Phone
(303) 296-1767
Fax
(303) 296-3484
NPI assigned
Aug 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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 0993974 CO Primary

Addresses

Primary practice location

3800 N York St
Denver, CO 80205-3540

Mailing address

3800 N York St
Denver, CO 80205-3540
Phone (303) 296-1767

Other identifiers 1

IdentifierTypeStateIssuer
0993974OtherCOCOLORADO DEPARTMENT OF REGULATORY LICENSE

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
I20180928001346 CO Practitioner - Nurse Practitioner 1153672209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inner City Health CenterGroup PAC ID 4688562697, 7 clinicians

Practice addresses (Care Compare)

3800 N York St
Denver, CO 80205-3540
Phone (303) 296-1767

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0993974COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inner City Health Center CurrentSince Aug 5, 2018 Accepting new patients
Inner City Health Center CurrentSince Aug 5, 2018 Accepting new patients

Locations

3800 N York St
Denver, CO 80205
Phone (303) 296-1767

Interoperability endpoints

  • Direct secure messaging: stacy.hountras.1@18112.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1285112946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 N YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053540",
            "telephone_number": "303-296-1767",
            "fax_number": "303-296-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N YORK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802053540",
            "telephone_number": "303-296-1767",
            "fax_number": "303-296-3484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUNTRAS",
        "first_name": "STACY",
        "middle_name": "COLVARD",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0993974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DEPARTMENT OF REGULATORY LICENSE",
            "identifier": "0993974",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.