Individual provider Active NPI

Elizabeth Anne Hammond, NP-C

  • Family Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1629580501
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0993465-NP Issued in CO
Practice address
12596 W Bayaud Ave Ste 350
Lakewood, CO 80228-2019
Phone
(303) 468-7246
NPI assigned
Oct 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 APN.0993465-NP CO Primary

Addresses

Primary practice location

12596 W Bayaud Ave Ste 350
Lakewood, CO 80228-2019

Mailing address

1355 S Colorado Blvd Ste 700
Denver, CO 80222-3325
Phone (303) 468-7246

Other names 1

  • Elizabeth Clinton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171212000615 CO Practitioner - Nurse Practitioner 9234497710 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Pain Practice, PLLC CurrentSince Jun 21, 2021 Accepting new patients
Colorado Pain Practice, LLC CurrentSince Jun 21, 2021 Accepting new patients
Colorado Pain Practice, PLLC Current Accepting new patients

Locations

1355 S Colorado Blvd
Ste 700
Denver, CO 80222
Phone (303) 277-0700

2696 S Colorado Blvd
Ste 240
Denver, CO 80222
Phone (210) 213-4444

12596 W Bayaud Ave
Ste 350
Lakewood, CO 80228
Phone (303) 468-7246

Organizations & group practices 4

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": "1509408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1629580501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD STE 700",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223325",
            "telephone_number": "303-468-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12596 W BAYAUD AVE STE 350",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282019",
            "telephone_number": "303-468-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMOND",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-31",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0993465-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "CLINTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.