Megan Leah Herzog, GNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

0995065-NP Issued in CO

Practice address

12600 W Colfax Ave Ste B200
Lakewood, CO 80215-3736

Phone

(303) 459-4000

NPI assigned

May 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1538376389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 ZODIAC PL",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801093769",
            "telephone_number": "952-288-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12600 W COLFAX AVE STE B200",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802153736",
            "telephone_number": "303-459-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 W 66th St",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554352111",
            "country_code": "US",
            "telephone_number": "952-836-3637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "MEGAN",
        "middle_name": "LEAH",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "0995065-NP",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "R1675081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorena Herrera, PHARMD
• Michael Andrew Herre Andrew Herrera, RBT
• Sabrina Rose Herstedt
• Daniel Gifford Hertel, LAC, LCSW
• Patrick Herzer, L.M.H.C.A.
• April Hester
• Sarah C Hester, LCSW
• Shelby Dallas Hetherington, CSWC, MSW
• Joy Lyn Hetzler, LCSW
• Katherine Heubisch, LPCC

• Primary Care Nurse Practitioner in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Primary Care Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.