Steffanie Lynn Ontiveros, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APN.0994436 Issued in CO

Practice address

600 Evans Rd
Canon City, CO 81212

Phone

(719) 269-5080

NPI assigned

Mar 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Canon Professional Wellness Clinic LLC

  • Primary Care Nurse Practitioner
  • Canon City, CO
  • NPI 1780384560

  Family

  NPD (past)
• Canon Professional, L.L.C.

  • Primary Care Clinic/Center
  • Canon City, CO
  • NPI 1568625549
  NPD (past)

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1326507948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1067 CLOVER AVE",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "812122222",
            "telephone_number": "719-371-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 EVANS RD",
            "city": "CANON CITY",
            "state": "CO",
            "postal_code": "81212",
            "telephone_number": "719-269-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONTIVEROS",
        "first_name": "STEFFANIE",
        "middle_name": "LYNN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Youngju Oh
• Mary Olson
• Steven Wayne Olson, M.D.
• Oms Associates Colorado PC
• Oneopto Co 1 PLLC
• Seth Tyson Oquist, D.C.
• Orchard Springs Dental
• Briana Oster, M.D.
• Frank Osuji, LPCC
• Dustin Oswalt

• Family Nurse Practitioner in Canon City, CO
• Providers in Canon City, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.