Active NPI
Hernando A Mispireta, ACNPC
- Gerontology Nurse Practitioner
- Thornton, CO
National Provider Identifier
1578796355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- APN.991183-NP
- Practice address
- 445 E 124TH Ave
Thornton, CO 80241-2402 - Phone
- (303) 327-1189
- Fax
- (303) 327-1197
- NPI assigned
- Aug 27, 2009
- Last updated
- Mar 17, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | CNP-02455 | NM | |
| Acute Care Nurse Practitioner | 363LA2100X | ARNP9217836 | FL | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | CNP-02455 | NM | |
| Gerontology Nurse Practitioner | 363LG0600X | APN.991183-NP | CO | Primary |
| Gerontology Clinical Nurse Specialist | 364SG0600X | APN 0991183-NP | CO |
Addresses
Primary practice location
445 E 124TH Ave
Thornton, CO 80241-2402
Mailing address
8950 E Lowry Blvd
Innovage Lowry Attn: Gayle Washington
Denver, CO 80230-7030
Phone (303) 869-4664
Other practice location 1
8044 Conifer Rd
Denver, CO 80221-4512
Phone (305) 342-6623
Other practice location 2
8044 Conifer Rd
Denver, CO 80221-4512
Phone (305) 342-6623
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | CO |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNP-02455 | NM | MD | Nurse Practitioner |
| ARNP9217836 | FL | MD | Acute Care Nurse Practitioner |
| APN.991183-NP | CO | MD | Gerontology Nurse Practitioner |
| APN 0991183-NP | CO | MD | Gerontology Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1578796355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8950 E LOWRY BLVD",
"address_2": "INNOVAGE LOWRY ATTN: GAYLE WASHINGTON",
"city": "DENVER",
"state": "CO",
"postal_code": "802307030",
"telephone_number": "303-869-4664",
"fax_number": "303-996-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 E 124TH AVE",
"city": "THORNTON",
"state": "CO",
"postal_code": "802412402",
"telephone_number": "303-327-1189",
"fax_number": "303-327-1197"
}
],
"practiceLocations": [
{
"address_1": "8044 Conifer Rd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802214512",
"country_code": "US",
"telephone_number": "305-342-6623",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8044 Conifer Rd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802214512",
"country_code": "US",
"telephone_number": "305-342-6623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MISPIRETA",
"first_name": "HERNANDO",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "ACNPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-27",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NM",
"license": "CNP-02455",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "ARNP9217836",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "NM",
"license": "CNP-02455",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CO",
"license": "APN.991183-NP",
"primary": true
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "CO",
"license": "APN 0991183-NP",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thornton, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.