SHADOW MOUNTAIN MENTAL HEALTH
NPI 1437709987
Nurse Practitioner - Psychiatric/Mental Health in Boulder, CO

NPI Status: Active since September 17, 2019

Contact Information

1200 28TH ST STE 200B
BOULDER, CO
ZIP 80303
Phone: (505) 716-0958
Fax: (720) 684-5091

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  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About SHADOW MOUNTAIN MENTAL HEALTH

This page provides the complete NPI Profile along with additional information for Shadow Mountain Mental Health, a provider established in Boulder, Colorado operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1437709987 assigned on September 2019. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Anne Elizabeth Miller Pmhnp-bc (Psychiatric Nurse Practitioner)

NPI
1437709987
Provider Name
SHADOW MOUNTAIN MENTAL HEALTH
Entity Type
Organization
Location Address
1200 28TH ST STE 200B BOULDER, CO 80303
Location Phone
(505) 716-0958
Location Fax
(720) 684-5091
Mailing Address
1245 HUMMINGBIRD CIR LONGMONT, CO 80501
Mailing Phone
(505) 716-0958
Mailing Fax
(720) 684-5091
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-17-2019
Last Update Date
07-27-2021
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A nurse practitioner (NP) like Shadow Mountain Mental Health is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANNE ELIZABETH MILLER PMHNP-BC

Authorized Official Title
PSYCHIATRIC NURSE PRACTITIONER
Authorized Official Phone
(505) 716-0958

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437709987
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
246714018916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 4 + 0 + 1 + 8 + 9 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1437709987 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1780715805 JOSHUA DAVID GOLDMAN MSW
Individual
Social Worker (Clinical)1200 28TH ST STE 200B
BOULDER, CO 80303
(303) 598-3974
1952750903 MICHIKO MITSUNAGA-WHITTEN LCSW
Individual
Social Worker (Clinical)1200 28TH ST STE 200B
BOULDER, CO 80303
(720) 893-1127
1215522669DR. VANESSA BEAN PH.D.
Individual
Psychologist (Counseling)1200 28TH ST STE 200B
BOULDER, CO 80303
(720) 924-9873

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437709987, enumerated in the NPI registry as an "organization" on September 17, 2019

The provider is located at 1200 28th St Ste 200b Boulder, Co 80303 and the phone number is (505) 716-0958

This medical organization specializes in Nurse Practitioner with taxonomy code 363LP0808X with a focus in Psychiatric/Mental Health

This NPI record was last updated on September 17, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.