Active NPI
Jeff Shawn Ritchie, NP
- Nurse Practitioner
- Boulder, CO
National Provider Identifier
1649658329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- RXN.0102061-NP
- Practice address
- 593 Fourmile Canyon Dr
Boulder, CO 80302-9742 - Phone
- (720) 487-4021
- Fax
- (949) 404-8762
- NPI assigned
- May 13, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RXN.0102061-NP | CO | Primary |
Addresses
Primary practice location
593 Fourmile Canyon Dr
Boulder, CO 80302-9742
Mailing address
593 Fourmile Canyon Dr
Boulder, CO 80302-9742
Phone (720) 487-4021
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RXN.0102061-NP | CO | MD | Nurse Practitioner |
Interoperability endpoints
- jeff.ritchie@96713091579908.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1649658329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "593 FOURMILE CANYON DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803029742",
"telephone_number": "720-487-4021",
"fax_number": "949-404-8762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "593 FOURMILE CANYON DR",
"city": "BOULDER",
"state": "CO",
"postal_code": "803029742",
"telephone_number": "720-487-4021",
"fax_number": "949-404-8762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITCHIE",
"first_name": "JEFF",
"middle_name": "SHAWN",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-05-13",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "RXN.0102061-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.