Active NPI
Peggy Ann Schlomer, RNFA
- Registered Nurse First Assistant
- Fort Collins, CO
National Provider Identifier
1790044667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse First Assistant
- License
- 1546
- Practice address
- 1107 S Lemay Ave
Ste 240
Fort Collins, CO 80524-3960 - Phone
- (970) 495-7421
- Fax
- (970) 495-7424
- NPI assigned
- May 11, 2012
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 119373 | CO | |
| Registered Nurse First Assistant | 163WR0006X | 1546 | CO | Primary |
Addresses
Primary practice location
1107 S Lemay Ave
Ste 240
Fort Collins, CO 80524-3960
Mailing address
1107 S Lemay Ave
Ste 240
Fort Collins, CO 80524
Phone (970) 495-7421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 96481285 | Medicaid | CO |
Other names 1
- Peggy Ann Seibel
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1546 | CO | MD | Optometrist |
| 119373 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421712000000",
"number": "1790044667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 S LEMAY AVE",
"address_2": "STE 240",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "80524",
"telephone_number": "970-495-7421",
"fax_number": "970-495-7424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1107 S LEMAY AVE",
"address_2": "STE 240",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243960",
"telephone_number": "970-495-7421",
"fax_number": "970-495-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLOMER",
"first_name": "PEGGY",
"middle_name": "ANN",
"credential": "RNFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-11",
"last_updated": "2015-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "119373",
"primary": false
},
{
"code": "163WR0006X",
"taxonomy_group": "",
"desc": "Registered Nurse, Registered Nurse First Assistant",
"state": "CO",
"license": "1546",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "96481285",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PEGGY",
"last_name": "SEIBEL",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.