Active NPI
Birgitte Darum Pegues, RNFA
- Registered Nurse First Assistant
- Palmer Lake, CO
National Provider Identifier
1508006420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 121657
- Practice address
- 106 Oakdale Dr
Palmer Lake, CO 80133-1386 - Phone
- (719) 572-1004
- Fax
- (719) 572-1004
- NPI assigned
- Mar 5, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse First Assistant | 163WR0006X | 121657 | CO | Primary |
Addresses
Primary practice location
106 Oakdale Dr
Palmer Lake, CO 80133-1386
Mailing address
PO Box 1386
Palmer Lake, CO 80133-1386
Phone (719) 572-1004
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121657 | CO | MD | Registered Nurse First Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1508006420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1386",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801331386",
"telephone_number": "719-572-1004",
"fax_number": "719-572-1004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 OAKDALE DR",
"city": "PALMER LAKE",
"state": "CO",
"postal_code": "801331386",
"telephone_number": "719-572-1004",
"fax_number": "719-572-1004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEGUES",
"first_name": "BIRGITTE",
"middle_name": "DARUM",
"credential": "RNFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-05",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CO",
"license": "121657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palmer Lake, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.