Individual provider Active NPI

Maureen Moaddeli, NP

  • Family Nurse Practitioner
  • Westminster, CO
National Provider Identifier
1689061103
Registry record updated Oct 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0991876-NP Issued in CO
Practice address
6080 W 92ND Ave
Westminster, CO 80031-2928
Phone
(303) 427-0796
NPI assigned
Apr 22, 2015
Last updated
Oct 15, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2015

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.0991876-NP CO Primary

Addresses

Primary practice location

6080 W 92ND Ave
Westminster, CO 80031-2928

Mailing address

6080 W 92ND Ave
Westminster, CO 80031-2928
Phone (303) 427-0796

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
I20151204000177 CO Practitioner - Nurse Practitioner 0244530855 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Hospital, Inc Internal Medicine Current Accepting new patients
Saint Joseph Hospital, Inc CurrentSince Jul 1, 2017 Accepting new patients
Uptown Community Health Center Inc Current Accepting new patients
Saint Joseph Hospital Inc CurrentSince Jul 1, 2017 Accepting new patients
Uptown Community Health Center Inc CurrentSince Nov 15, 2022 Accepting new patients
Uptown Community Health Center Inc Internal Medicine CurrentSince Nov 15, 2022 Accepting new patients
Infinite Care Clinics, LLC Internal Medicine Past Accepting new patients
Infinite Diagnostics, LLC Past Accepting new patients

Locations

1375 E 19th Ave
Denver, CO 80218
Phone (303) 812-2000

1960 N Ogden St
Ste 330
Denver, CO 80218
Phone (303) 318-2610

1960 N Ogden St
Ste 340
Denver, CO 80218
Phone (303) 318-3816

1960 N Ogden St
Ste 400
Denver, CO 80218
Phone (303) 318-1540

1960 N Ogden St
Ste 460
Denver, CO 80218
Phone (303) 318-2500

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444867200000",
    "number": "1689061103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6080 W 92ND AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312928",
            "telephone_number": "303-427-0796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 W 92ND AVE",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800312928",
            "telephone_number": "303-427-0796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOADDELI",
        "first_name": "MAUREEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0991876-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CO

Sources for this page

Verify at the official NPI Registry.