Individual provider Active NPI

Joanne Lofthouse, NP

  • Gerontology Nurse Practitioner
  • Thornton, CO
National Provider Identifier
1891903902
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APN.0004900-NP Issued in CO
Practice address
445 E 124TH Ave
Thornton, CO 80241-2402
Phone
(303) 327-1189
Fax
(303) 327-1197
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4900 CO
Gerontology Nurse Practitioner 363LG0600X APN.0004900-NP CO Primary

Addresses

Primary practice location

445 E 124TH Ave
Thornton, CO 80241-2402

Mailing address

8950 E Lowry Blvd
Innovage Greater Colorado Pace Attn:Gayle Washington
Denver, CO 80230
Phone (303) 912-7193

Other practice location 1

550 Thornton Pkwy
Thornton, CO 80229-2100
Phone (303) 327-1189

Other identifiers 2

IdentifierTypeStateIssuer
96251379MedicaidCO
PENDINGMedicaidCO

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0004900-NPCOMDGerontology Nurse Practitioner
4900COMDDoula

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1891903902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 E LOWRY BLVD",
            "address_2": "INNOVAGE GREATER COLORADO PACE ATTN:GAYLE WASHINGTON",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80230",
            "telephone_number": "303-912-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E 124TH AVE",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802412402",
            "telephone_number": "303-327-1189",
            "fax_number": "303-327-1197"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Thornton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802292100",
            "country_code": "US",
            "telephone_number": "303-327-1189",
            "fax_number": "303-327-1197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOFTHOUSE",
        "first_name": "JOANNE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "4900",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0004900-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96251379",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.