Organization Active NPI

Durango Family Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Durango, CO
National Provider Identifier
1063225134
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DURANGO FAMILY PSYCHIATRY
Practice address
484 Turner Dr
Durango, CO 81303-7992
Phone
(970) 903-8981
NPI assigned
Jan 30, 2025
Last updated
Jan 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Laura Christina De, NP
Title
Pmhnp-BC
Phone
(970) 903-8981

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

484 Turner Dr
Durango, CO 81303-7992

Mailing address

20 Tierra Verde Dr
Durango, CO 81301-7789
Phone (970) 903-8981

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250408003811 CO Part B Supplier - Clinic/Group Practice 8022532365 Receives reassigned benefits from 1 practitioner
Practice locations: Durango, CO

National Provider Directory

National Provider Directory

Locations

484 Turner Dr
Durango, CO 81303
Phone (970) 501-5640

484 Turner Dr
Ste B2
Durango, CO 81303
Phone (970) 501-5650

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1063225134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 TIERRA VERDE DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813017789",
            "telephone_number": "970-903-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 TURNER DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813037992",
            "telephone_number": "970-903-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANGO FAMILY PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "DE",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "970-903-8981",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.