Individual provider Active NPI

Stephanie Marie Betz, FNP-C

  • Family Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1881812873
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0100019 Issued in CO
Practice address
119 Ucb
Boulder, CO 80309-5001
Phone
(303) 492-3028
Fax
(303) 492-8222
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 0100019 CO Primary

Addresses

Primary practice location

119 Ucb
Boulder, CO 80309-5001

Mailing address

2038 Widgeon Dr
Johnstown, CO 80534-9271
Phone (970) 587-2762

Other practice location 1

100 Central Avenue
Cheyenne, WY 82007
Phone (307) 633-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0100019COMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: stephanie.betz.1@27043.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1881812873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2038 WIDGEON DR",
            "city": "JOHNSTOWN",
            "state": "CO",
            "postal_code": "805349271",
            "telephone_number": "970-587-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 UCB",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803095001",
            "telephone_number": "303-492-3028",
            "fax_number": "303-492-8222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Central Avenue",
            "address_purpose": "LOCATION",
            "city": "Cheyenne",
            "state": "WY",
            "postal_code": "82007",
            "country_code": "US",
            "telephone_number": "307-633-4040",
            "fax_number": "307-633-4050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETZ",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0100019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.