Individual provider Active NPI

Stella Shetu Ogbeide, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Golden, CO
National Provider Identifier
1811399876
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1001141 Issued in CO
Practice address
1707 Cole Blvd Ste 100
Golden, CO 80401-3219
Phone
(866) 949-0108
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11211 CT
Family Nurse Practitioner 363LF0000X 53-84695-042 KS
Family Nurse Practitioner 363LF0000X A186655 IA
Family Nurse Practitioner 363LF0000X 304850 AZ
Family Nurse Practitioner 363LF0000X 13609650-4405 UT
Family Nurse Practitioner 363LF0000X 95000646 CA
Family Nurse Practitioner 363LF0000X 2025029402 MO
Family Nurse Practitioner 363LF0000X 1086820 TX
Family Nurse Practitioner 363LF0000X 0039773 OH
Family Nurse Practitioner 363LF0000X 225868 OK
Family Nurse Practitioner 363LF0000X 235350 AR
Family Nurse Practitioner 363LF0000X AP61622426 WA
Family Nurse Practitioner 363LF0000X 1001141 CO Primary
Family Nurse Practitioner 363LF0000X 17408-33 WI
Family Nurse Practitioner 363LF0000X 10020943 OR

Addresses

Primary practice location

1707 Cole Blvd Ste 100
Golden, CO 80401-3219

Mailing address

1080 Leonard Ave
Pasadena, CA 91107-1744
Phone (626) 818-5311

Other practice location 1

1001 Lakeside Ave E Ste 259
Cleveland, OH 44114-1158
Phone (866) 949-0108

Other practice location 2

185 Asylum St
Hartford, CT 06103-3408
Phone (860) 215-2117

Other practice location 3

12921 S Vista Station Blvd
Draper, UT 84020-2376
Phone (866) 949-0108

Other practice location 4

13655 Riverport Dr # 300
Maryland Heights, MO 63043-4812
Phone (816) 319-4785

Other practice location 5

1831 E 71st St
Tulsa, OK 74136-3928
Phone (833) 358-2036

Other practice location 6

700 NE Multnomah St Ste 400
Portland, OR 97232-4104
Phone (503) 420-5852

Other practice location 7

1089 Jordan Creek Pkwy Ste 200
West Des Moines, IA 50266-5830
Phone (815) 531-8013

Other practice location 8

2101 Rosecrans Ave Ste 3230
El Segundo, CA 90245-7515
Phone (323) 628-8671

Other practice location 9

4650 W Spencer St # 15
Appleton, WI 54914-9106
Phone (866) 949-0108

Other practice location 10

2150 N 107th St Ste 480
Seattle, WA 98133-9009
Phone (866) 686-2504

Other practice location 11

6860 W 115th St
Overland Park, KS 66211-2457
Phone (833) 357-3227

Other practice location 12

2525 E Colorado Blvd
Pasadena, CA 91107-3756
Phone (626) 818-5311

Other practice location 13

425 W Capitol Ave Ste 435
Little Rock, AR 72201-3642
Phone (501) 209-8671

Other practice location 14

6700 E Speedway Blvd Ste 105
Tucson, AZ 85710-1220
Phone (866) 949-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11211CTMDClinical Social Worker
235350ARMDFamily Nurse Practitioner
304850AZMDFamily Nurse Practitioner
95000646CAMDFamily Nurse Practitioner
1001141COMDFamily Nurse Practitioner
A186655IAMDFamily Nurse Practitioner
53-84695-042KSMDFamily Nurse Practitioner
2025029402MOMDFamily Nurse Practitioner
0039773OHMDFamily Nurse Practitioner
225868OKMDFamily Nurse Practitioner
10020943ORMDFamily Nurse Practitioner
1086820TXMDFamily Nurse Practitioner
13609650-4405UTMDFamily Nurse Practitioner
AP61622426WAMDFamily Nurse Practitioner
17408-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Medical of Arkansas PA PastSince Nov 10, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sogbeide@landmarkhealth-direct.org
  • Direct secure messaging: stella.ogbeide.1@33202.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1811399876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 LEONARD AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911071744",
            "telephone_number": "626-818-5311",
            "fax_number": "626-351-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 COLE BLVD STE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013219",
            "telephone_number": "866-949-0108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Lakeside Ave E Ste 259",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441141158",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Asylum St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061033408",
            "country_code": "US",
            "telephone_number": "860-215-2117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12921 S Vista Station Blvd",
            "address_purpose": "LOCATION",
            "city": "Draper",
            "state": "UT",
            "postal_code": "840202376",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13655 Riverport Dr # 300",
            "address_purpose": "LOCATION",
            "city": "Maryland Heights",
            "state": "MO",
            "postal_code": "630434812",
            "country_code": "US",
            "telephone_number": "816-319-4785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1831 E 71st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741363928",
            "country_code": "US",
            "telephone_number": "833-358-2036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 NE Multnomah St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972324104",
            "country_code": "US",
            "telephone_number": "503-420-5852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1089 Jordan Creek Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502665830",
            "country_code": "US",
            "telephone_number": "815-531-8013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2101 Rosecrans Ave Ste 3230",
            "address_purpose": "LOCATION",
            "city": "El Segundo",
            "state": "CA",
            "postal_code": "902457515",
            "country_code": "US",
            "telephone_number": "323-628-8671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4650 W Spencer St # 15",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549149106",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2150 N 107th St Ste 480",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339009",
            "country_code": "US",
            "telephone_number": "866-686-2504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6860 W 115th St",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662112457",
            "country_code": "US",
            "telephone_number": "833-357-3227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2525 E Colorado Blvd",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073756",
            "country_code": "US",
            "telephone_number": "626-818-5311",
            "fax_number": "626-351-1060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "425 W Capitol Ave Ste 435",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722013642",
            "country_code": "US",
            "telephone_number": "501-209-8671",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6700 E Speedway Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857101220",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OGBEIDE",
        "first_name": "STELLA",
        "middle_name": "SHETU",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-22",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "11211",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84695-042",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A186655",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "304850",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "13609650-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95000646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025029402",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1086820",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0039773",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "225868",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "235350",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61622426",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "1001141",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "17408-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "10020943",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.