Active NPI
Arielle Flom
- Registered Nurse
- Fort Collins, CO
National Provider Identifier
1306682505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1678731
- Practice address
- 2938 Crusader St
Fort Collins, CO 80524-7513 - Phone
- (757) 618-0564
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1678731 | CO | Primary |
Addresses
Primary practice location
2938 Crusader St
Fort Collins, CO 80524-7513
Mailing address
2938 Crusader St
Fort Collins, CO 80524-7513
Phone (757) 618-0564
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1678731 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1306682505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2938 CRUSADER ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805247513",
"telephone_number": "757-618-0564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2938 CRUSADER ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805247513",
"telephone_number": "757-618-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOM",
"first_name": "ARIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-08",
"certification_date": "2024-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "1678731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.