Individual provider Active NPI

Stephanie Reever, NP

  • Gerontology Nurse Practitioner
  • Greenwood Village, CO
National Provider Identifier
1609285725
Registry record updated Mar 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
991216 Issued in CO
Practice address
6465 Greenwood Plaza Blvd Ste 300
Greenwood Village, CO 80111-7101
Phone
(719) 680-1581
Fax
(844) 884-6536
NPI assigned
Aug 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 991216 CO Primary

Addresses

Primary practice location

6465 Greenwood Plaza Blvd Ste 300
Greenwood Village, CO 80111-7101

Mailing address

6465 Greenwood Plaza Blvd Ste 300
Greenwood Village, CO 80111-7101
Phone (719) 680-1581

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

LicenseStateTypeSpecialty
991216COMDGerontology Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584835200000",
    "number": "1609285725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6465 GREENWOOD PLAZA BLVD STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801117101",
            "telephone_number": "719-680-1581",
            "fax_number": "844-884-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6465 GREENWOOD PLAZA BLVD STE 300",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801117101",
            "telephone_number": "719-680-1581",
            "fax_number": "844-884-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEVER",
        "first_name": "STEPHANIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-04",
        "last_updated": "2020-03-22",
        "certification_date": "2020-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "991216",
            "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 Mar 22, 2020; 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.