Genevieve Lamancusa, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0991420 Issued in CO

Practice address

3450 Ash Ave
Boulder, CO 80305-3432

Phone

(720) 771-2474

NPI assigned

Oct 8, 2014

Last updated

Oct 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2019 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: genevieve.lamancusa@342192122101764.direct.elationemr.com

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412726400000",
    "number": "1851794572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 ASH AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053432",
            "telephone_number": "720-771-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 ASH AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053432",
            "telephone_number": "720-771-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMANCUSA",
        "first_name": "GENEVIEVE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0991420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Lally, DPT
• Lam Nutrition, LLC
• Marco Lam, L.AC.
• Sylvie Lam, LPCC, CHT
• Tina Lam
• Marjory Anne Lambert, RN
• Rachelle Harmony Lambert, L.AC.
• Shawna Michelle Lambrecht, PT
• Tracey Ann Lamers, LPC
• Natalie Lamolinara

• Family Nurse Practitioner in Boulder, CO
• Providers in Boulder, CO by specialty
• Family Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.