Celia A Ibanez
Individual provider Active NPI Family Nurse Practitioner · Lamar, CO
NPI 1356202022 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1356202022
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- APN.1001394-NP (CO)
- Practice address
- 108 Lee Ave
Lamar, CO 81052-3711 - Phone
- (719) 336-1170
- NPI assigned
- Nov 20, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN.1001394-NP | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresenius Medical Care Dialysis Services Colorado LLC | Current |
Accepting new patients | |
| Fresenius Medical Care Dialysis Services Colorado, LLC | Past |
Accepting new patients |
Locations
108 Lee Ave
Lamar, CO 81052
Phone (719) 336-1170
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APN.1001394-NP | CO | Yes |
Addresses
Primary practice location
108 Lee Ave
Lamar, CO 81052-3711
Mailing address
803 W Oak St
Lamar, CO 81052-3043
Phone (719) 336-1170
Other providers in Lamar, CO
- Hilton C Ray MDPC
- Jacqueline Rae Hiner
- Julie Hobden
- Jeffrey Horgan
- Helen Drake Iams
- Arin W Iman
- Jean Jabo
- Amy Lynda Jaime
- Juniper Haven, LP
- Charles Dale Kelley
All providers in Lamar, CO · Family Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.