Active NPI
Elizabeth Claire Bouwman
- Adult Health Nurse Practitioner
- Lakewood, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APN.0994703
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN.0994703 | CO | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zaghi Medical Inc | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.