Individual provider Active NPI

Elizabeth Claire Bouwman

  • Adult Health Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1437706769
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0994703 Issued in CO
Practice address
8405 W Alameda Ave
Lakewood, CO 80226-2908
Phone
(720) 610-7241
Fax
(303) 869-4751
NPI assigned
Aug 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.0994703 CO
Adult Health Nurse Practitioner 363LA2200X APN.0994703 CO Primary

Addresses

Primary practice location

8405 W Alameda Ave
Lakewood, CO 80226-2908

Mailing address

8405 W Alameda Ave
Lakewood, CO 80226-2908
Phone (720) 610-7241

Other practice location 1

6200 S Syracuse Way Ste 200
Greenwood Village, CO 80111-4739
Phone (720) 750-8497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, CA, FL, TX, SD5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20191002000927 CO Practitioner - Nurse Practitioner 8820328024
I20241205001453 CA Practitioner - Nurse Practitioner 8820328024 Reassigns benefits to 1 organization
I20241205004421 FL Practitioner - Nurse Practitioner 8820328024 Reassigns benefits to 1 organization
I20250128000148 TX Practitioner - Nurse Practitioner 8820328024 Reassigns benefits to 1 organization
I20260505002143 SD Practitioner - Nurse Practitioner 8820328024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zaghi Medical IncGroup PAC ID 9931555141, 21 clinicians

Practice addresses (Care Compare)

1065 SW 8TH St
Suite 1434
Miami, FL 33130-3601
Phone (424) 256-3011

350 Parnassus Ave
700B
San Francisco, CA 94117-3608
Phone (424) 600-8360

4364 Western Ctr Blvd
Suite 2315
Fort Worth, TX 76137-2043
Phone (424) 256-3011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0994703COMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Zaghi Medical Inc CurrentSince Nov 1, 2024 Accepting new patients

Locations

5665 Wilshire Blvd
Los Angeles, CA 90036
Phone (209) 372-7025

350 Parnassus Ave
#700B
San Francisco, CA 94117
Phone (424) 600-8360

1065 SW 8th St
Miami, FL 33130
Phone (424) 256-3011

4364 Western Center Blvd
#2315
Fort Worth, TX 76137
Phone (424) 256-3011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1437706769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 W ALAMEDA AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262908",
            "telephone_number": "720-610-7241",
            "fax_number": "303-869-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 W ALAMEDA AVE",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802262908",
            "telephone_number": "720-610-7241",
            "fax_number": "303-869-4751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 S Syracuse Way Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801114739",
            "country_code": "US",
            "telephone_number": "720-750-8497",
            "fax_number": "720-750-8498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUWMAN",
        "first_name": "ELIZABETH",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0994703",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0994703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.