Individual provider Active NPI

Liana Wellborn, NP

  • Acute Care Nurse Practitioner
  • Aurora, CO
National Provider Identifier
1700661196
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
APN.0999068-NP Issued in CO
Practice address
731 Elkhart St
Aurora, CO 80011-7003
Phone
(812) 322-8922
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X APN.0999068-NP CO Primary

Addresses

Primary practice location

731 Elkhart St
Aurora, CO 80011-7003

Mailing address

731 Elkhart St
Aurora, CO 80011-7003
Phone (812) 322-8922

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
I20240515002962 CO Practitioner - Nurse Practitioner 9133560659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Nephrology and Metabolic Bone Disease, P.C.Group PAC ID 2264428622, 33 clinicians

Practice addresses (Care Compare)

5265 Vance St
Suite 200
Arvada, CO 80002-3714
Phone (303) 232-3366

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Western Nephrology & Metabolic Bone Disease, P.C. CurrentSince Jun 15, 2024 Accepting new patients
Western Nephrology & Metabolic Bone Disease, P.C. PastSince Sep 20, 2020 Accepting new patients
Tapestry Telehealth PLLC Past Accepting new patients

Locations

5265 Vance St
Ste 200
Arvada, CO 80002
Phone (303) 232-3366

8410 Decatur St
Ste 100
Westminster, CO 80031
Phone (303) 430-7000

8410 Decatur St
Westminster, CO 80031
Phone (303) 430-6518

4891 Independence St
Ste 120
Wheat Ridge, CO 80033
Phone (303) 232-3366

919 Lehua Ave
Pearl City, HI 96782
Phone (808) 453-1919

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACHACA

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1700661196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 ELKHART ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117003",
            "telephone_number": "812-322-8922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 ELKHART ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800117003",
            "telephone_number": "812-322-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLBORN",
        "first_name": "LIANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CO",
            "license": "APN.0999068-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

Verify at the official NPI Registry.