Individual provider Active NPI

Christine Diane Boughner, FNP-C

  • Family Nurse Practitioner
  • Denver, CO
National Provider Identifier
1851834915
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0992595-NP Issued in CO
Practice address
2810 Quebec St
Denver, CO 80207-2900
Phone
(303) 370-5870
Fax
(303) 370-5875
NPI assigned
Nov 22, 2016
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0992595-NP CO Primary

Addresses

Primary practice location

2810 Quebec St
Denver, CO 80207-2900

Mailing address

PO Box 932958
Cleveland, OH 44193-0028

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
I20170427001808 CO Practitioner - Nurse Practitioner 3577840610 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Little Clinic of Colorado, LLCGroup PAC ID 5597821280, 65 clinicians

Practice addresses (Care Compare)

7984 W Alameda Ave
Lakewood, CO 80226-3025
Phone (303) 459-7105

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APN.0992595-NPCOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Community Provider Network, Inc. CurrentSince Sep 17, 2022 Accepting new patients
Metro Community Provider Network Inc CurrentSince Sep 17, 2022 Accepting new patients
The Little Clinic of Colorado, LLC Family CurrentSince Jan 29, 2024 Accepting new patients
Metro Community Provider Network Inc Current Accepting new patients
La Clinica Tepeyac, Inc CurrentSince Mar 19, 2017 Accepting new patients
La Clinica Tepeyac, Inc CurrentSince Mar 19, 2017 Accepting new patients

Locations

3292 Peoria St
Aurora, CO 80010
Phone (303) 343-6130

2255 S Oneida St
Denver, CO 80224
Phone (303) 879-6681

2810 Quebec St
Denver, CO 80207
Phone (303) 333-3837

4725 High St
Denver, CO 80216
Phone (720) 274-2923

5075 Lincoln St
Denver, CO 80216
Phone (303) 458-5302

3701 S Broadway
Englewood, CO 80113

7984 W Alameda Ave
Lakewood, CO 80226
Phone (303) 459-7105

12959 S Parker Rd
Parker, CO 80134
Phone (303) 840-7683

17866 Cottonwood Dr
Parker, CO 80134
Phone (303) 205-6899

Interoperability endpoints

  • Direct secure messaging: christine.boughner@krogerhealth.eclinicaldirectplus.com

Organizations & group practices 6

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1851834915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932958",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 QUEBEC ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802072900",
            "telephone_number": "303-370-5870",
            "fax_number": "303-370-5875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUGHNER",
        "first_name": "CHRISTINE",
        "middle_name": "DIANE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0992595-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.