Active NPI
Elizabeth Anne Gerlitzki, F.N.P.
- Adult Health Nurse Practitioner
- Fort Collins, CO
National Provider Identifier
1588763569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APN.0004057-NP
- Practice address
- 4674 Snow Mesa Dr
Suite 100
Fort Collins, CO 80528-8615 - Phone
- (970) 482-3712
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 23001.365 | WY | |
| Adult Health Nurse Practitioner | 363LA2200X | APN.0004057-NP | CO | Primary |
| Nurse Practitioner | 363L00000X | 4057 | CO |
Addresses
Primary practice location
4674 Snow Mesa Dr
Suite 100
Fort Collins, CO 80528-8615
Mailing address
2695 Rocky Mountain Ave
Suite 150
Loveland, CO 80538-8702
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34829512 | Medicaid | CO | |
| 110601502 | Medicaid | WY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4057 | CO | MD | Clinical Psychologist |
| 23001.365 | WY | MD | Nurse Practitioner |
| APN.0004057-NP | CO | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450137600000",
"number": "1588763569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2695 ROCKY MOUNTAIN AVE",
"address_2": "SUITE 150",
"city": "LOVELAND",
"state": "CO",
"postal_code": "805388702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4674 SNOW MESA DR",
"address_2": "SUITE 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805288615",
"telephone_number": "970-482-3712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERLITZKI",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2015-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WY",
"license": "23001.365",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CO",
"license": "APN.0004057-NP",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "4057",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34829512",
"state": "CO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110601502",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.