Individual provider Active NPI

Stephen Weaver, CRNA

  • Certified Registered Nurse Anesthetist
  • Lakewood, CO
National Provider Identifier
1407186679
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APN.0991137-CRNA Issued in CO
Practice address
3333 S Wadsworth Blvd Unit D100
Lakewood, CO 80227-5117
Phone
(303) 205-1090
Fax
(303) 205-5534
NPI assigned
Jan 11, 2010
Last updated
May 20, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 713551 TX
Certified Registered Nurse Anesthetist 367500000X APN.0991137-CRNA CO Primary

Addresses

Primary practice location

3333 S Wadsworth Blvd Unit D100
Lakewood, CO 80227-5117

Mailing address

1798 Aquamarine Way
Castle Rock, CO 80108-7720
Phone (915) 274-4356

Other identifiers 1

IdentifierTypeStateIssuer
84325852MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140516001542 CO Practitioner - Certified Registered Nurse Anesthetist (Crna) 7618190794 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN.0991137-CRNACOMDCertified Registered Nurse Anesthetist
713551TXMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2020 Accepting new patients
Arapahoe Gastroenterology Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 12, 2016 Accepting new patients

Locations

14272 E Evans Ave
Aurora, CO 80014
Phone (303) 425-2800

13111 E Briarwood Ave
Ste 300
Centennial, CO 80112
Phone (303) 671-5533

4700 Hale Pkwy
Ste 200
Denver, CO 80220
Phone (303) 758-1175

7000 W Colfax Ave
Lakewood, CO 80214
Phone (303) 671-5553

1001 Southpark Dr
Littleton, CO 80120
Phone (303) 531-5724

9397 Crown Crest Blvd
Parker, CO 80138
Phone (303) 840-1135

10001 Washington St
Thornton, CO 80229
Phone (303) 252-0083

13051 University Dr
Ste 102
Fort Myers, FL 33907
Phone (239) 590-6111

Organizations & group practices 2

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": "1263168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400544000000",
    "number": "1407186679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1798 AQUAMARINE WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801087720",
            "telephone_number": "915-274-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 S WADSWORTH BLVD UNIT D100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802275117",
            "telephone_number": "303-205-1090",
            "fax_number": "303-205-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAVER",
        "first_name": "STEPHEN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-01-11",
        "last_updated": "2014-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "713551",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN.0991137-CRNA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "84325852",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.