NPI 1093495400 · Certified Registered Nurse Anesthetist · Anthem
No evidence of recent practice activity despite listings in 7 carrier networks.
NPPES
LAKEWOOD, 80228
Freshness: Unknown
Network Status
Listed with 8 carriers
DORA License
Active
Medicare
Not enrolled in Medicare (PECOS)
Care Compare
Address mismatch with NPPES
PECOS Enrollment
No PECOS data
Active NPI with specialty classification
Active Colorado DORA license confirmed
No Medicare billing · No electronic endpoint · No PECOS enrollment
Single address source (NPPES)
Listed in multiple carrier networks
7 networks across 3 carriers
Listed in 7 carrier networks but no corresponding activity signals found in federal practice datasets.
Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.