Individual provider Active NPI

Corinna Ter-Antonyan, NP

  • Adult Health Nurse Practitioner
  • Lafayette, CO
National Provider Identifier
1760033856
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APN.0994760-NP Issued in CO
Practice address
2594 Trailridge Dr E
Lafayette, CO 80026-3186
Phone
(303) 449-7740
NPI assigned
Sep 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.0994760-NP CO
Adult Health Nurse Practitioner 363LA2200X APN.0994760-NP CO Primary
Adult Health Nurse Practitioner 363LA2200X 5013478 NC

Addresses

Primary practice location

2594 Trailridge Dr E
Lafayette, CO 80026-3186

Mailing address

2594 Trailridge Dr E
Lafayette, CO 80026-3186
Phone (303) 449-7740

Other practice location 1

610 Lene Ln
Berthoud, CO 80513-2821
Phone (970) 388-0111

Other practice location 2

2511 Old Cornwallis Rd
Durham, NC 27713-1869
Phone (844) 932-5700

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
I20200117001888 CO Practitioner - Nurse Practitioner 3173958261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Colorado Hospitalists Professional LLCGroup PAC ID 8325147507, 85 clinicians

Practice addresses (Care Compare)

1024 S Lemay Ave
Poudre Valley Hospital
Fort Collins, CO 80524-3929
Phone (970) 495-7142

2021 Battlecreek Dr
Unit a
Fort Collins, CO 80528-5120
Phone (970) 231-4008

Hospital & facility affiliations

  • Poudre Valley Hospital Hospital, Fort Collins, CO, CCN 060010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0994760-NPCOMDAdult Health Nurse Practitioner
5013478NCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Long Term Care and Rehab Consultants CurrentSince Dec 10, 2019 Accepting new patients
Northern Colorado Hospitalists Professional LLC CurrentSince Apr 10, 2025 Accepting new patients

Locations

12650 W 64th Ave
Unit E501
Arvada, CO 80004
Phone (303) 431-4127

2021 Battlecreek Dr
Unit A
Fort Collins, CO 80528
Phone (720) 770-0259

1024 S Lemay Ave
Fort Collins, CO 80524
Phone (970) 495-7000

1365 W 29th St
Loveland, CO 80538
Phone (970) 388-3279

7481 Knox Pl
Westminster, CO 80030
Phone (303) 238-7505

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1568937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1760033856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 TRAILRIDGE DR E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263186",
            "telephone_number": "303-449-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 TRAILRIDGE DR E",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800263186",
            "telephone_number": "303-449-7740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Lene Ln",
            "address_purpose": "LOCATION",
            "city": "Berthoud",
            "state": "CO",
            "postal_code": "805132821",
            "country_code": "US",
            "telephone_number": "970-388-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2511 Old Cornwallis Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277131869",
            "country_code": "US",
            "telephone_number": "844-932-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TER-ANTONYAN",
        "first_name": "CORINNA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-20",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0994760-NP",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0994760-NP",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "5013478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

Verify at the official NPI Registry.