Individual provider Active NPI

Augustine I Egiebor, RN

  • Medical-Surgical Registered Nurse
  • Greenwood Village, CO
National Provider Identifier
1508690454
Registry record updated Aug 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical-Surgical Registered NurseTaxonomy code 163WM0705X
License
1673042 Issued in CO
Practice address
6312 S Fiddlers Green Cir Ste 300E
Greenwood Village, CO 80111-4831
Phone
(720) 209-0044
NPI assigned
Aug 31, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 1673042 CO Primary

Addresses

Primary practice location

6312 S Fiddlers Green Cir Ste 300E
Greenwood Village, CO 80111-4831

Mailing address

6312 S Fiddlers Green Cir Ste 300E
Greenwood Village, CO 80111-4831
Phone (720) 209-0044

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1673042COMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Hands Home Health Agency Current Accepting new patients

Locations

6312 S Fiddlers Green Cir
Ste 300E
Greenwood Village, CO 80111
Phone (720) 209-0044

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1508690454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 S FIDDLERS GREEN CIR STE 300E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114831",
            "telephone_number": "720-209-0044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6312 S FIDDLERS GREEN CIR STE 300E",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114831",
            "telephone_number": "720-209-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGIEBOR",
        "first_name": "AUGUSTINE",
        "middle_name": "I",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CO",
            "license": "1673042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.