Individual provider Active NPI

Carole J Way, FNP-BC

  • Family Nurse Practitioner
  • Johnstown, CO
National Provider Identifier
1295123503
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991332-NP Issued in CO
Practice address
4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566
Phone
(970) 619-8139
Fax
(970) 612-8013
NPI assigned
Jan 8, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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 APN.0991332-NP CO Primary

Addresses

Primary practice location

4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566

Mailing address

4435 Ronald Reagan Blvd
Johnstown, CO 80534-6566
Phone (970) 619-8139

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

LicenseStateTypeSpecialty
APN.0991332-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Center of the Rockies PC CurrentSince Jan 3, 2021 Accepting new patients
Wound Care Associates Inc Past Accepting new patients
Thompson River Pediatrics and Urgent Care, LLC Past Accepting new patients

Locations

1029 Robertson St
Fort Collins, CO 80524
Phone (970) 227-4611

8223 W 20th St
Ste B
Greeley, CO 80634
Phone (970) 673-1155

Interoperability endpoints

  • Direct secure messaging: carole@trpeds.opdirect.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1295123503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4435 RONALD REAGAN BLVD",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805346566",
            "telephone_number": "970-619-8139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4435 RONALD REAGAN BLVD",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805346566",
            "telephone_number": "970-619-8139",
            "fax_number": "970-612-8013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAY",
        "first_name": "CAROLE",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-08",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991332-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.