Individual provider Active NPI

Elizabeth B Belanger-Shugart, N.P.

  • Family Nurse Practitioner
  • Glenwood SPGS, CO
National Provider Identifier
1609835057
Registry record updated Sep 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
181568 Issued in CO
Practice address
1052 Sun King Dr
Glenwood SPGS, CO 81601-9260
Phone
(734) 330-7913
NPI assigned
Mar 22, 2006
Last updated
Sep 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 181568 CO Primary

Addresses

Primary practice location

1052 Sun King Dr
Glenwood SPGS, CO 81601-9260

Mailing address

1906 Blake Ave
Glenwood SPGS, CO 81601-4592
Phone (970) 384-7291

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
181568COMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1609835057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 BLAKE AVE",
            "city": "GLENWOOD SPGS",
            "state": "CO",
            "postal_code": "816014592",
            "telephone_number": "970-384-7291",
            "fax_number": "970-384-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 SUN KING DR",
            "city": "GLENWOOD SPGS",
            "state": "CO",
            "postal_code": "816019260",
            "telephone_number": "734-330-7913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELANGER-SHUGART",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "181568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenwood SPGS, CO

Sources for this page

Verify at the official NPI Registry.