Individual provider Active NPI

Pamela Owenby, RN, MSN, FNP-C

  • Family Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1740611201
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0000896 Issued in CO
Practice address
750 W Hampden Ave Ste 105
Englewood, CO 80110-2167
Phone
(303) 945-3299
NPI assigned
Dec 10, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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 0000896 CO Primary

Addresses

Primary practice location

750 W Hampden Ave Ste 105
Englewood, CO 80110-2167

Mailing address

750 W Hampden Ave Ste 105
Englewood, CO 80110-2167
Phone (303) 945-3299

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
I20180524001607 CO Practitioner - Nurse Practitioner 6204052012

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
23769CAMDGeneral Practice Dentistry
0000896COMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mednow Clinics, Inc CurrentSince Jan 21, 2021 Accepting new patients
Advanced Spine and Pain PLLC Past Accepting new patients

Locations

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

895 S Logan St
Denver, CO 80209
Phone (303) 733-3764

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1740611201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W HAMPDEN AVE STE 105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102167",
            "telephone_number": "303-945-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HAMPDEN AVE STE 105",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102167",
            "telephone_number": "303-945-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENBY",
        "first_name": "PAMELA",
        "credential": "RN, MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-10",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0000896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.