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ETHAN DOE
NPI 1134098833
Registered Nurse - Case Management in Boulder, CO

Active since October 31, 2025
3180 AIRPORT RD, BOULDER, CO 80301(303) 447-1665 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Doe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ETHAN DOE (NPI 1134098833) is an individual case management provider in Boulder, Colorado, licensed in Colorado (RN.1675791) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1134098833
Entity TypeIndividualMale
Primary Taxonomy163WC0400X
Provider Legal NameETHAN DOE
Location Address3180 AIRPORT RDBoulder, CO 80301-2208
Mailing Address11823 Ridge Pkwy Apt 817Broomfield, CO 80021-5099 · (708) 941-7406
Phone(303) 447-1665
Sole ProprietorNo
Enumeration DateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1134098833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in CO · RN.1675791
3180 AIRPORT RD, Boulder, CO 80301
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY VINYCH
Counselor (Professional)
3180 AIRPORT RD
BOULDER, CO 80301
Boulder County (303) 378-6668
MS. CHRISTINE LEE O'NEILL M.S.
Counselor (Mental Health)
3180 AIRPORT RD
BOULDER, CO 80301
Boulder County (303) 957-6293
SUZY ANNE KENNEDY
Counselor (Mental Health)
3180 AIRPORT RD
BOULDER, CO 80301
Boulder County (303) 443-8500
CHRISTIAN PAUL FRAHM
Counselor (Addiction (Substance Use Disorder))
3180 AIRPORT RD
BOULDER, CO 80301
Boulder County (303) 441-1275
DOUGLAS MILLER
Counselor (Addiction (Substance Use Disorder))
3180 AIRPORT RD
BOULDER, CO 80301
Boulder County (303) 443-8500
JORDAN NICOLE SPECTOR
Counselor (Addiction (Substance Use Disorder))
3180 AIRPORT RD
BOULDER, CO 80301
Boulder County (303) 245-6798
AMBER NICOLETTI
Counselor (Addiction (Substance Use Disorder))
3180 AIRPORT RD
BOULDER, CO 80301
Boulder County (303) 441-1281
MS. VANESSA KAY BOEHM
Counselor (Addiction (Substance Use Disorder))
3180 AIRPORT RD
BOULDER, CO 80301
Boulder County (303) 441-1281

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Doe's NPI number?

The NPI number for Ethan Doe is 1134098833. It was assigned to this individual provider in the NPPES registry on October 31, 2025.

Where is Ethan Doe located?

Ethan Doe practices at 3180 Airport Rd, Boulder, CO 80301. The listed phone number is (303) 447-1665.

What is Ethan Doe's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Ethan Doe was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.