Active NPI
James Patrick Moltz, LPN
- Licensed Practical Nurse
- Englewood, CO
National Provider Identifier
1336474006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 43465
- Practice address
- 1715 E Girard PL Apt 1033B
Englewood, CO 80113-9151 - Phone
- (870) 917-4297
- NPI assigned
- Oct 13, 2009
- Last updated
- Oct 13, 2009
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 43465 | CO | Primary |
Addresses
Primary practice location
1715 E Girard PL Apt 1033B
Englewood, CO 80113-9151
Mailing address
1715 E Girard PL Apt 1033B
Englewood, CO 80113-9151
Phone (870) 917-4297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43465 | Other | CO | LPN LICENSE # |
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 |
|---|---|---|---|
| 43465 | CO | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1336474006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 E GIRARD PL APT 1033B",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801139151",
"telephone_number": "870-917-4297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 E GIRARD PL APT 1033B",
"city": "ENGLEWOOD",
"state": "CO",
"postal_code": "801139151",
"telephone_number": "870-917-4297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLTZ",
"first_name": "JAMES",
"middle_name": "PATRICK",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "CO",
"license": "43465",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPN LICENSE #",
"identifier": "43465",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Englewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.