Active NPI
Ilo Mathewson
- Registered Nurse
- Denver, CO
National Provider Identifier
1942570866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 188658
- Practice address
- 10065 E Harvard Ave Ste 400
Denver, CO 80231-5943 - Phone
- (303) 614-1400
- NPI assigned
- Jan 9, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 188658 | CO | Primary |
Addresses
Primary practice location
10065 E Harvard Ave Ste 400
Denver, CO 80231-5943
Mailing address
13718 W 62ND Dr
Arvada, CO 80004-6183
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
| License | State | Type | Specialty |
|---|---|---|---|
| 188658 | CO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326067200000",
"number": "1942570866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13718 W 62ND DR",
"city": "ARVADA",
"state": "CO",
"postal_code": "800046183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10065 E HARVARD AVE STE 400",
"city": "DENVER",
"state": "CO",
"postal_code": "802315943",
"telephone_number": "303-614-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHEWSON",
"first_name": "ILO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-09",
"last_updated": "2012-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "188658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.