Lorraine Agold-Rich, RN, BSN, CRRN
Individual provider Active NPI Community Health Registered Nurse · Divide, CO
NPI 1346310380 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1346310380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 150677 (CO)
- Practice address
- 11505 Hwy. 24
Divide, CO 80814-0928 - Phone
- (719) 687-6416
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150677 | CO | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teller County | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 150677 | CO | Yes |
Addresses
Primary practice location
11505 Hwy. 24
Divide, CO 80814-0928
Mailing address
PO Box 928
Divide, CO 80814-0928
Phone (719) 687-6416
Other providers in Divide, CO
All providers in Divide, CO · Community Health Registered Nurse in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.