DEBRA ANN IVERSON (NPI# 1164448221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164448221 |
| Entity Type | Individual |
| Full Name | DEBRA ANN IVERSON |
| Other Name | DEBRA ANN IVERSON |
| Credential | FNP |
| Practice Address |
1025 Eldorado Blvd Cor Medical @ Century Link Broomfield CO 80021 |
| Mailing Address |
6030 W 112th Place Westminster CO 80020 |
| Practice Telephone | 7209254684 |
| Practice Fax Number | 3034646511 |
| Mailing Telephone | 7204545660 |
| Mailing Fax Number | 8666445936 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APN.0991009-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364S00000X | Clinical Nurse Specialist | 79473 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | FNP | 53-76177-042 | 01 |
| BC-ADM ADVANCED DIABETES MANAGEMENT | 200600694 | 01 | |
| CO | COLORADO BOARD OF NURSING | APN.0991009-NP | 01 |
| CO | COLORADO BOARD OF NURSING | 79473 | 01 |
| NCBDE-CERTIFIED DIABETES EDUCATOR | 20620106 | 01 | |
| FNP CERTIFICATION (ANCC) | 20130117352 | 01 |
| Street Address |
1025 ELDORADO BLVD COR MEDICAL @ CENTURY LINK |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841822277 | Cor Medical LLC | Internal Medicine | 1025 Eldorado Blvd, Broomfield, CO 80021-8254 | 2020-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941934 | Denver Restorative Dentistry Pllc | Dentist | 8181 Arista Place, Suite 140, Broomfield, CO 80021 | 2019-09-19 |
| 1205490398 | Amber Kay Kisser | Occupational Therapist | 7770 W 101st Ave, Westminster, CO 80021 | 2019-04-24 |
| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455157 | Faith Emma Olson | Nurse Practitioner | 2550 Winding River Dr Unit C1, Broomfield, CO 80023-6545 | 2020-10-23 |
| 1548869860 | Colleen R Newvine | Nurse Practitioner | 2831 W 133rd Ave, Broomfield, CO 80020-5263 | 2020-10-19 |
| 1508480724 | Colton Grant Miller | Nurse Practitioner | 14531 Prairie Sky Ln, Broomfield, CO 80023-8771 | 2020-06-03 |
| 1487276507 | Marie Louise Richardson | Nurse Practitioner | 3101 Hourglass Pl, Broomfield, CO 80023-8025 | 2020-05-12 |
| 1447893110 | Stephanie Lynn Kipp | Nurse Practitioner | 5023 W 120th Ave # 312, Broomfield, CO 80020-5606 | 2019-10-24 |
| 1366998734 | Lisa Shaheen | Nurse Practitioner | 4644 Winona Pl, Broomfield, CO 80020-5647 | 2016-08-26 |
| 1972919421 | Melissa Ginsburg | Nurse Practitioner | 12516 Whippoorwill St, Broomfield, CO 80020-7918 | 2014-07-04 |
| 1689013377 | Catherine Encinias Felson | Nurse Practitioner | 3111 W 127th Ave, Broomfield, CO 80020-5811 | 2013-06-17 |
| 1780907147 | Kelly Pauline Krieger | Nurse Practitioner | 11935 Quay St, Broomfield, CO 80020-2816 | 2010-03-12 |
| 1619160454 | Kristin Carolyn Bradley | Nurse Practitioner | 2555 W Midway Blvd, Broomfield, CO 80020-1632 | 2007-08-24 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80021 |
Please comment or provide details below to improve the information on DEBRA ANN IVERSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.