Cammie Rausch

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APN0991694-NP Issued in CO

Practice address

3885 Upham St Ste 100
Wheat Ridge, CO 80033-4800

Phone

(303) 742-0086

NPI assigned

Mar 25, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Cammie Kay Black Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1467846600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 S EATON ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802325801",
            "telephone_number": "206-778-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3885 UPHAM ST STE 100",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800334800",
            "telephone_number": "303-742-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "CAMMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN0991694-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAMMIE",
            "last_name": "BLACK",
            "middle_name": "KAY",
            "credential": "AGPCNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristian Elizabeth Randall, NNP
• Yamini Bear Rao, M.D.
• Garrett Rasmussen
• Dontrell Denise Raspberry-Young
• Emmett David Ratigan, MD
• Maxwell Rawson
• Franco R Rea, M.D.
• Michelle Lee Read
• Real Care, Inc.
• Sarah Reck, RN

• Gerontology Nurse Practitioner in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Gerontology Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.