Individual provider Active NPI

Edith Lovegren, MD, PHD

  • Geriatric Medicine (Internal Medicine) Physician
  • Denver, CO
National Provider Identifier
1871688838
Registry record updated Dec 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
31930 Issued in CO
Practice address
6311 E 14TH Ave
Denver, CO 80220-2821
Phone
(303) 333-6434
Fax
(303) 333-6505
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 31930 CO Primary

Addresses

Primary practice location

6311 E 14TH Ave
Denver, CO 80220-2821

Mailing address

6311 E 14TH Ave
Denver, CO 80220-2821
Phone (303) 333-6434

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101108001462 CO Practitioner - Internal Medicine 8628263373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
31930COMDGeriatric Medicine (Internal Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577059200000",
    "number": "1871688838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 E 14TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202821",
            "telephone_number": "303-333-6434",
            "fax_number": "303-333-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 E 14TH AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802202821",
            "telephone_number": "303-333-6434",
            "fax_number": "303-333-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVEGREN",
        "first_name": "EDITH",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CO",
            "license": "31930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.