Individual provider Active NPI

Edith Lindeburg, RN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Denver, CO
National Provider Identifier
1457622599
Registry record updated Jan 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
97267 Issued in CO
Practice address
1719 E 19TH Ave
Denver, CO 80218-1235
Phone
(303) 839-7690
Fax
(303) 839-7694
NPI assigned
Jan 21, 2012
Last updated
Jan 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 97267 CO Primary

Addresses

Primary practice location

1719 E 19TH Ave
Denver, CO 80218-1235

Mailing address

1719 E 19TH Ave
Denver, CO 80218-1235
Phone (303) 839-7690

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
I20210930000252 CO Practitioner - Nurse Practitioner 9830494459 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
97267COMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthone Clinic Services-Surgical Specialties LLC CurrentSince Jun 25, 2021 Accepting new patients

Locations

1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000

4809 Argonne St
Denver, CO 80249
Phone (303) 563-2784

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 1

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": "1327104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327104000000",
    "number": "1457622599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 E 19TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181235",
            "telephone_number": "303-839-7690",
            "fax_number": "303-839-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 E 19TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802181235",
            "telephone_number": "303-839-7690",
            "fax_number": "303-839-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEBURG",
        "first_name": "EDITH",
        "name_prefix": "Mrs.",
        "credential": "RN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-21",
        "last_updated": "2012-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "97267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.