Galina Omelioussik, NP

Individual provider Active NPI Family Nurse Practitioner · Lonetree, CO

NPI 1609121102 · NPPES record last updated Jul 20, 2012

Key facts

NPI
1609121102
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
990407 (CO)
Practice address
9898 Rosemont Ave
Lonetree, CO 80124-4106
Phone
(303) 798-4404
NPI assigned
Jul 20, 2012
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
990407COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Foot & Ankle Center PC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 990407 CO Yes

Addresses

Primary practice location

9898 Rosemont Ave
Lonetree, CO 80124-4106

Mailing address

22886 E Calhoun PL
Aurora, CO 80016-5209
Phone (720) 324-6708

Other identifiers

IdentifierTypeStateIssuer
990407OtherCOCOLORADO NP NUMBER

Other providers in Lonetree, CO

All providers in Lonetree, CO · Family Nurse Practitioner in Colorado

Sources for this page

Verify at the official NPI Registry.