Individual provider Active NPI

Gwendolyn Eshie Elango, NP

  • Adult Health Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1679121016
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0994869-NP Issued in CO
Practice address
21427 E Ottawa Cir
Aurora, CO 80016-2658
Phone
(501) 681-1583
NPI assigned
Aug 29, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.0994869-NP CO Primary

Addresses

Primary practice location

21427 E Ottawa Cir
Aurora, CO 80016-2658

Mailing address

21427 E Ottawa Cir
Aurora, CO 80016-2658
Phone (501) 681-1583

Other identifiers 1

IdentifierTypeStateIssuer
APN.0994869-NPOtherCOCOLORADO STATE BOARD OF NURSING

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
I20200406001687 CO Practitioner - Nurse Practitioner 2668801010

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1679121016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21427 E OTTAWA CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162658",
            "telephone_number": "501-681-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21427 E OTTAWA CIR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800162658",
            "telephone_number": "501-681-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELANGO",
        "first_name": "GWENDOLYN",
        "middle_name": "ESHIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0994869-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE BOARD OF NURSING",
            "identifier": "APN.0994869-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.