Individual provider Active NPI

Rosha Dhakal, AGNP-C

  • Family Nurse Practitioner
  • Golden, CO
National Provider Identifier
1871136994
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0995025-NP Issued in CO
Practice address
400 Indiana St Ste 280
Golden, CO 80401-5069
Phone
(303) 985-1811
Fax
(303) 985-3917
NPI assigned
Oct 21, 2019
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse Practitioner 363LF0000X APN.0995025-NP CO Primary
Occupational Health Nurse Practitioner 363LX0106X 0995025 CO
Pain Management Registered Nurse 163WP0000X APN.0995025-NP CO
Orthotic Fitter 225000000X APN.0995025-NP CO

Addresses

Primary practice location

400 Indiana St Ste 280
Golden, CO 80401-5069

Mailing address

16580 E Hialeah Dr
Centennial, CO 80015-4114
Phone (585) 789-7949

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
I20200318000195 CO Practitioner - Nurse Practitioner 4385072743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Front Range Wound Care PCGroup PAC ID 5496133951, 5 clinicians

Practice addresses (Care Compare)

6825 S Galena St
Suite 200
Centennial, CO 80112-3630
Phone (303) 741-0990

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0995025COMDOccupational Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Front Range Wound Care PC Multi-Specialty CurrentSince Sep 1, 2022 Accepting new patients
Nurses, LLC Multi-Specialty PastSince Oct 1, 2019 Accepting new patients

Locations

6825 S Galena St
Centennial, CO 80112

6825 S Galena St
Ste 200
Centennial, CO 80112
Phone (303) 741-0990

Organizations & group practices 2

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1871136994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16580 E HIALEAH DR",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "800154114",
            "telephone_number": "585-789-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 INDIANA ST STE 280",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804015069",
            "telephone_number": "303-985-1811",
            "fax_number": "303-985-3917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAKAL",
        "first_name": "ROSHA",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0995025-NP",
            "primary": true
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "CO",
            "license": "0995025",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pain Management",
            "state": "CO",
            "license": "APN.0995025-NP",
            "primary": false
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "CO",
            "license": "APN.0995025-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.