Active NPI
Ann Renee Liddick, RN
- Community Health Registered Nurse
- Lakewood, CO
National Provider Identifier
1821186289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 118974
- Practice address
- 260 S Kipling St
Lakewood, CO 80226-1086 - Phone
- (303) 239-7094
- NPI assigned
- Oct 11, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 118974 | CO | Primary |
Addresses
Primary practice location
260 S Kipling St
Lakewood, CO 80226-1086
Mailing address
760 Beech St
Lakewood, CO 80401-4653
Phone (303) 237-4987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35026740 | Medicaid | CO |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 118974 | CO | MD | Community Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821186289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BEECH ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "804014653",
"telephone_number": "303-237-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 S KIPLING ST",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802261086",
"telephone_number": "303-239-7094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIDDICK",
"first_name": "ANN",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CO",
"license": "118974",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35026740",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
- Susan J Lewis, PHD JD
- Amie Lezius, RBT
- Sarah Marie Lheureux, LPC-CO, LCPC-IL, ATR
- Jiahui Li, MA, LPCC
- Lia Sedgeley, LCSW, Mac, Caciii, LLC
- Chia-Yen Lien
- Life Care Associates IV Limited Partnership
- Life Care Centers of America, Inc.
- Life'S Hope Therapeutic Services PLLC
- Life'S Hope Therapeutic Services PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.