Active NPI
Netsanet Mulugeta, N.P
- Pediatric Nurse Practitioner
- Aurora, CO
National Provider Identifier
1710377619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 0994696
- Practice address
- 16000 E Colfax Ave
Aurora, CO 80011-5811 - Phone
- (916) 549-9208
- Fax
- (303) 600-7340
- NPI assigned
- Jan 29, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 21440 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 0994696 | CO | Primary |
Addresses
Primary practice location
16000 E Colfax Ave
Aurora, CO 80011-5811
Mailing address
16000 E Colfax Ave
Aurora, CO 80011-5811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0994696 | CO | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1710377619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 E COLFAX AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800115811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 E COLFAX AVE",
"city": "AURORA",
"state": "CO",
"postal_code": "800115811",
"telephone_number": "916-549-9208",
"fax_number": "303-600-7340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULUGETA",
"first_name": "NETSANET",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-29",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "21440",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CO",
"license": "0994696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.