Individual provider Active NPI

Lauren Faye Petasne, ARNP

  • Family Nurse Practitioner
  • Wheat Ridge, CO
National Provider Identifier
1396261525
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9355379 Issued in FL
Practice address
7100 W 44TH Ave Ste 101a
Wheat Ridge, CO 80033
Phone
(720) 507-4779
NPI assigned
Aug 18, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9355379 FL Primary

Addresses

Primary practice location

7100 W 44TH Ave Ste 101a
Wheat Ridge, CO 80033

Mailing address

7505 W Yale Ave Unit 2202
Denver, CO 80227-3426
Phone (954) 294-9248

Other practice location 1

8903 Glades Rd Ste A11
Boca Raton, FL 33434-2006
Phone (561) 482-7575

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181025002714 CO Practitioner - Nurse Practitioner 8123387974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Spine & Posture Center Inc. PastSince Sep 27, 2020 Accepting new patients
Openloop Healthcare Partners PC Past Accepting new patients
Openloop Healthcare Partners California PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396261525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 W YALE AVE UNIT 2202",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802273426",
            "telephone_number": "954-294-9248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 W 44TH AVE STE 101A",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "80033",
            "telephone_number": "720-507-4779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8903 Glades Rd Ste A11",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334342006",
            "country_code": "US",
            "telephone_number": "561-482-7575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETASNE",
        "first_name": "LAUREN",
        "middle_name": "FAYE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9355379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

Verify at the official NPI Registry.