Active NPI
Terri Squires, LPC, FNP-C, PNP-C, Aprn-RX
- Psychiatric/Mental Health Nurse Practitioner
- Telluride, CO
National Provider Identifier
1053779421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 5346
- Legal business name
- TERRI SQUIRES, LPC, FNP-C, PNP-C, APRN-RX
- Practice address
- 560 Mountain Village Blvd # 102a-B
Suite 102a-B
Telluride, CO 81435-9513 - Phone
- (808) 866-6533
- Fax
- (888) 338-7728
- NPI assigned
- Feb 1, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Prof. Terri Leigh Squires, LPC, FNP-C, PNP-C,
- Title
- Ceo
- Phone
- (808) 866-6533
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5346 | CO | Primary |
Addresses
Primary practice location
560 Mountain Village Blvd # 102a-B
Suite 102a-B
Telluride, CO 81435-9513
Mailing address
PO Box 3629
Telluride, CO 81435-3629
Phone (808) 866-6533
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87485249 | Medicaid | CO |
Other names 1
- INTEGRATIVE PSYCHIATRY SERVICES, LLC; TERRI SQUIRES, LPC, FNP-C, PNP-C
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Redmond, OR
- NPI 1811997935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1454284800000",
"number": "1053779421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3629",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "814353629",
"telephone_number": "808-866-6533",
"fax_number": "888-338-7728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 MOUNTAIN VILLAGE BLVD # 102A-B",
"address_2": "SUITE 102A-B",
"city": "TELLURIDE",
"state": "CO",
"postal_code": "814359513",
"telephone_number": "808-866-6533",
"fax_number": "888-338-7728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRI SQUIRES, LPC, FNP-C, PNP-C, APRN-RX",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-01",
"last_updated": "2016-02-01",
"status": "A",
"authorized_official_last_name": "SQUIRES",
"authorized_official_first_name": "TERRI",
"authorized_official_middle_name": "LEIGH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "808-866-6533",
"authorized_official_name_prefix": "Prof.",
"authorized_official_credential": "LPC, FNP-C, PNP-C,"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "5346",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87485249",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "INTEGRATIVE PSYCHIATRY SERVICES, LLC; TERRI SQUIRES, LPC, FNP-C, PNP-C",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Telluride, CO
- Telluride Medical Center-Primary Care
- Telluride Medical Center-Primary Care
- Telluride Medical Center-Primary Care
- Telluride Physical Therapy
- Telluride Whole Health, LLC
- Sarah Anne Tolbert
- Treeline Therapy, LLC
- Tri-County Health Network
- Sarah Lauderdale Tyler, F.N.P-C
- Magdolna Ilona Ujvari, MASSAGE THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.