Individual provider Active NPI

Shirley Jo Roddy, CNP

  • Primary Care Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1881778553
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
C-APN.0003272-C-NP Issued in CO
Practice address
255 Union Blvd Ste 360
Lakewood, CO 80228-1859
Phone
(303) 237-2779
Fax
(303) 237-4428
NPI assigned
Oct 25, 2006
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X C-APN.0003272-C-NP CO Primary

Addresses

Primary practice location

255 Union Blvd Ste 360
Lakewood, CO 80228-1859

Mailing address

255 Union Blvd Ste 360
Lakewood, CO 80228-1859
Phone (303) 237-2779

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
I20211202000382 CO Practitioner - Nurse Practitioner 9931254430 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alpine Medical Group Colorado PLLCGroup PAC ID 1759743347, 101 clinicians

Practice addresses (Care Compare)

255 Union Blvd
Suite 360
Lakewood, CO 80228-1859
Phone (303) 237-2779

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP000220SDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colorado Physician Partners, PLLC Current Accepting new patients
Alpine Medical Group Colorado PLLC CurrentSince Jan 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC Current Accepting new patients
Optumcare Colorado Medical Group, LLC CurrentSince Mar 1, 2024 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

255 Union Blvd
Ste 360
Lakewood, CO 80228
Phone (303) 237-2779

8199 Southpark Ln
Ste 100
Littleton, CO 80120
Phone (303) 730-3332

Interoperability endpoints

  • Direct secure messaging: shirleyroddy@cpp.allscriptsdirect.net

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1881778553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 360",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281859",
            "telephone_number": "303-237-2779",
            "fax_number": "303-237-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 UNION BLVD STE 360",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802281859",
            "telephone_number": "303-237-2779",
            "fax_number": "303-237-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDY",
        "first_name": "SHIRLEY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "C-APN.0003272-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.