Screening result
NPI 1053638064Screened 6/6/2026, 12:03:34 AM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.
EXCLUDED
Active federal exclusion in effect.
This NPI carries 0 active OIG exclusions. Do not employ or contract for federal-program work.
Reasons (3)
- • CO nursing board revocation (2024-01-03)
- • CO nursing board revocation (2023-09-14)
- • CO nursing board revocation (2021-04-30)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| CO nursing | Revocation | 2024-01-03 | — |
| CO nursing | Revocation | 2023-09-14 | 2024-01-03 |
| CO nursing | Revocation | 2021-04-30 | 2024-01-03 |
Monitor this provider
Team+ subscribers — we re-screen daily and alert on status changes.
Source + audit trail
- NPI screened
- 1053638064
- Screen timestamp
- 6/6/2026, 12:03:34 AM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 150
- Matches found
- 3
PREVIEW — FREE TIER. Subscribe (Solo+) for an unwatermarked, audit-ready record with a verification ID.
ProviderScore — Sanctions Screening Record
Record generated 6/6/2026, 12:03:34 AM
NPI 1053638064
EXCLUDED Active federal exclusion in effect.
Screened 6/6/2026, 12:03:34 AM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (3) | 40 states live: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| State Medicaid exclusions | Clear | — |
| SAM.gov / GSA exclusions | Clear | — |
| OFAC SDN (Treasury) | Clear | — |
| FDA debarment | Clear | — |
Findings (3)
- CO nursing board revocation (2024-01-03)
- CO nursing board revocation (2023-09-14)
- CO nursing board revocation (2021-04-30)
Source + audit trail
| NPI screened | 1053638064 |
| Screen timestamp | 6/6/2026, 12:03:34 AM |
| OIG LEIE snapshot | 2026-05-08 |
| State boards covered | AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| Risk band | EXCLUDED |
| Risk score | 150 |
| Total matches | 3 |
This record reflects the sources and snapshot dates listed above at the time of generation. Not legal advice. ProviderScore screens exclusion/sanction lists, not primary-source license verification.
This page is also a permanent deliverable. Bookmark or share the URL to preserve the screen result. For programmatic access + audit IDs, see the paid tiers.