Individual provider Active NPI

Nancy Lynn Stoudt, MD

  • Family Medicine Physician
  • Thornton, CO
National Provider Identifier
1346296126
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31311 Issued in CO
Practice address
2200 East 104 Avenue
Suite 115
Thornton, CO 80233
Phone
(303) 452-2766
Fax
(303) 252-8694
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31311 CO Primary

Addresses

Primary practice location

2200 East 104 Avenue
Suite 115
Thornton, CO 80233

Mailing address

689 South High Street
Denver, CO 80209
Phone (303) 733-3948

Other identifiers 1

IdentifierTypeStateIssuer
56121873MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120918000084 CO Practitioner - Family Practice 3870406440 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2200 E 104TH Ave
Suite 115
Thornton, CO 80233-4402

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31311COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alpine Medical Group Colorado PLLC Family Medicine CurrentSince Oct 3, 2023 Accepting new patients
Colorado Physician Partners, PLLC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Colorado Physician Partners, PLLC Family Medicine CurrentSince Jan 1, 2019 Accepting new patients
Woodridge Family Physicians, P.C. Past Accepting new patients
Elane Shirar MD Inc Family Medicine PastSince Nov 1, 1999 Accepting new patients
Catholic Health Initiatives Colorado Past Accepting new patients

Locations

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

205 S Garrison St
Ste A
Lakewood, CO 80226
Phone (720) 728-5170

6169 S Balsam Way
Ste 190
Littleton, CO 80123
Phone (303) 933-8240

2200 E 104th Ave
Ste 115
Thornton, CO 80233
Phone (303) 452-2766

Interoperability endpoints

  • Direct secure messaging: nancystoudt@cpp.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1346296126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "689 SOUTH HIGH STREET",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80209",
            "telephone_number": "303-733-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 EAST 104 AVENUE",
            "address_2": "SUITE 115",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80233",
            "telephone_number": "303-452-2766",
            "fax_number": "303-252-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOUDT",
        "first_name": "NANCY",
        "middle_name": "LYNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56121873",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

Verify at the official NPI Registry.