Individual provider Active NPI

Erin Hameroff

  • Adult Medicine Physician
  • Englewood, CO
National Provider Identifier
1881173953
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
APN.0994070-NP Issued in CO
Practice address
3460 S Federal Blvd
Englewood, CO 80110-1967
Phone
(303) 912-4560
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X APN.0994070-NP CO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0994070-NP CO

Addresses

Primary practice location

3460 S Federal Blvd
Englewood, CO 80110-1967

Mailing address

3460 S Federal Blvd
Englewood, CO 80110-1967

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
I20220411002168 CO Practitioner - Nurse Practitioner 2860888294 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Well Nourished LLCGroup PAC ID 6608249669, 6 clinicians

Practice addresses (Care Compare)

2801 Youngfield St
Suite 101
Golden, CO 80401-0208
Phone (720) 512-1215

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Well Nourished LLC CurrentSince May 11, 2024 Accepting new patients

Locations

2801 Youngfield St
Ste 101
Golden, CO 80401
Phone (720) 512-1215

Organizations & group practices 1

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": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1881173953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 S FEDERAL BLVD",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801101967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 S FEDERAL BLVD",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801101967",
            "telephone_number": "303-912-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMEROFF",
        "first_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CO",
            "license": "APN.0994070-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0994070-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.