Individual provider Active NPI

Caroline Wozniakowski, APRN, FNP-C

  • Family Nurse Practitioner
  • Johnstown, CO
National Provider Identifier
1629785704
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0997957 Issued in CO
Practice address
4795 Larimer Pkwy
Johnstown, CO 80534-9021
Phone
(970) 682-3203
NPI assigned
Oct 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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 0997957 CO Primary

Addresses

Primary practice location

4795 Larimer Pkwy
Johnstown, CO 80534-9021

Mailing address

1451 Edora Rd
Fort Collins, CO 80525-1247
Phone (214) 620-1626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0997957COMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1629785704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 EDORA RD",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251247",
            "telephone_number": "214-620-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4795 LARIMER PKWY",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349021",
            "telephone_number": "970-682-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOZNIAKOWSKI",
        "first_name": "CAROLINE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0997957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnstown, CO

Sources for this page

Verify at the official NPI Registry.