Active NPI
Angela M. Fellers Lemire, NP
- Nurse Practitioner
- Denver, CO
National Provider Identifier
1295892578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 117650
- Practice address
- 605 Bannock St
MC-2600
Denver, CO 80204-4505 - Phone
- (303) 602-3539
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 117650 | CO | Primary |
Addresses
Primary practice location
605 Bannock St
MC-2600
Denver, CO 80204-4505
Mailing address
7152 E Jewell Ave
Denver, CO 80224-2238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62532847 | Medicaid | CO |
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 |
|---|---|---|---|
| 4175 | CO | MD | Addiction (Substance Use Disorder) Counselor |
| 117650 | CO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243296000000",
"number": "1295892578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7152 E JEWELL AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802242238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 BANNOCK ST",
"address_2": "MC-2600",
"city": "DENVER",
"state": "CO",
"postal_code": "802044505",
"telephone_number": "303-602-3539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELLERS LEMIRE",
"first_name": "ANGELA",
"middle_name": "M.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2009-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "117650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "62532847",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.