Individual provider Active NPI

Victor Duarte, FNP-C, WCC

  • Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1619340551
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APN.0991521-NP Issued in CO
Practice address
1914 Falcon Ridge Dr
Fort Collins, CO 80528-5100
Phone
(970) 217-4896
NPI assigned
Oct 31, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0991521-NP CO Primary

Addresses

Primary practice location

1914 Falcon Ridge Dr
Fort Collins, CO 80528-5100

Mailing address

1914 Falcon Ridge Dr
Fort Collins, CO 80528-5100
Phone (970) 217-4896

Other practice location 1

214 E 23rd St
Cheyenne, WY 82001-3748
Phone (307) 634-2273

Other practice location 2

1800 15th St
Greeley, CO 80631-4500
Phone (970) 810-5120

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
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0991521-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1446249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1619340551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1914 FALCON RIDGE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285100",
            "telephone_number": "970-217-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1914 FALCON RIDGE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805285100",
            "telephone_number": "970-217-4896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 E 23rd St",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "820013748",
            "country_code": "US",
            "telephone_number": "307-634-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 15th St",
            "address_purpose": "LOCATION",
            "city": "Greeley",
            "state": "CO",
            "postal_code": "806314500",
            "country_code": "US",
            "telephone_number": "970-810-5120",
            "fax_number": "970-810-5121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUARTE",
        "first_name": "VICTOR",
        "credential": "FNP-C, WCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-31",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0991521-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 8, 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.