Mary Therese Weber, PMHNP-BC, PHD

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

182710 Issued in CO

Practice address

8801 Lipan St
Thornton, CO 80260-4912

Phone

(303) 720-9085

Fax

(303) 657-3227

NPI assigned

Aug 2, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1023025970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13120 EAST 19TH AVE, MAIL STOP C288-18",
            "address_2": "UNIVERSITY OF COLORADO COLLEGE OF NURSING",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "80045",
            "telephone_number": "303-724-2949",
            "fax_number": "303-724-8560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 LIPAN ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802604912",
            "telephone_number": "303-720-9085",
            "fax_number": "303-657-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "MARY",
        "middle_name": "THERESE",
        "name_prefix": "Dr.",
        "credential": "PMHNP-BC, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "655931",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "182710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1551277-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8N3334",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Orion David Watts
• Elisabeth Webber, MSW, LCSW
• Joanna Webber, MSW
• Bruce J Weber, D.O.
• John Lee Weber
• Molly Kathleen Weber, RN
• Rachel J Weber, PA
• Michelle Rae Webster, MS, CAC III
• Starr Rachelle Wedemeyer, M.D.
• Paula Jean Weed

• All providers in Thornton, CO
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.