Individual provider Active NPI

Caleb Jayce Steen, RN BSN, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Edwards, CO
National Provider Identifier
1033949136
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0102463-C-NP Issued in CO
Practice address
2205 Cordillera Way
Edwards, CO 81632-6290
Phone
(337) 207-1347
NPI assigned
Aug 5, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Psychiatry Physician 2084P0802X C-APN.0102463-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0102463-C-NP CO Primary

Addresses

Primary practice location

2205 Cordillera Way
Edwards, CO 81632-6290

Mailing address

350 Founders Avenue
Unit G102 Xx5553
Eagle, CO 81631
Phone (337) 207-1347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240918000066 CO Practitioner - Nurse Practitioner 4284175266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
C-APN.0102463-C-NPCOMDAddiction Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1722816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1033949136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 FOUNDERS AVENUE",
            "address_2": "UNIT G102 XX5553",
            "city": "EAGLE",
            "state": "CO",
            "postal_code": "81631",
            "telephone_number": "337-207-1347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 CORDILLERA WAY",
            "city": "EDWARDS",
            "state": "CO",
            "postal_code": "816326290",
            "telephone_number": "337-207-1347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEEN",
        "first_name": "CALEB",
        "middle_name": "JAYCE",
        "name_prefix": "Mr.",
        "credential": "RN BSN, MSN, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-05",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "CO",
            "license": "C-APN.0102463-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0102463-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwards, CO

Sources for this page

Verify at the official NPI Registry.