Individual provider Active NPI

Abigail L Wegert, NP

  • Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1477901304
Registry record updated Jul 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
992471 Issued in CO
Practice address
8015 W Alameda Ave Ste 260
Lakewood, CO 80226
Phone
(303) 744-3477
Fax
(303) 733-5848
NPI assigned
Jun 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.1639869 CO
Nurse Practitioner 363L00000X 992471 CO Primary

Addresses

Primary practice location

8015 W Alameda Ave Ste 260
Lakewood, CO 80226

Mailing address

4900 S Monaco St Ste 210
Denver, CO 80237-3487
Phone (303) 744-3477

Other identifiers 1

IdentifierTypeStateIssuer
14135060MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN.1639869COMDRegistered Nurse
992471COMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1477901304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST STE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373487",
            "telephone_number": "303-744-3477",
            "fax_number": "303-733-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 W ALAMEDA AVE STE 260",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "80226",
            "telephone_number": "303-744-3477",
            "fax_number": "303-733-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGERT",
        "first_name": "ABIGAIL",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-01",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "RN.1639869",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "992471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14135060",
            "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 Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.