Individual provider Active NPI

Shelley Abadi, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, CO
National Provider Identifier
1063801876
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0997304-NP Issued in CO
Practice address
255 S Routt St Ste 250
Lakewood, CO 80228-2271
Phone
(720) 712-0300
NPI assigned
Jan 16, 2015
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RXN.0106343-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0997304-NP CO Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN.1648866 CO

Addresses

Primary practice location

255 S Routt St Ste 250
Lakewood, CO 80228-2271

Mailing address

3300 N Triumph Blvd Ste 500
Lehi, UT 84043-6475
Phone (644) 692-4100

Other practice location 1

11059 E Bethany Dr Ste 200
Aurora, CO 80014-2637
Phone (303) 617-2300

Other practice location 2

8931 Huron St
Thornton, CO 80260-6806
Phone (303) 853-3500

Other identifiers 1

IdentifierTypeStateIssuer
9000204614MedicaidCO

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
I20220310001803 CO Practitioner - Nurse Practitioner 9032504915 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.1648866COMDPsychiatric/Mental Health Registered Nurse
APN.0997304-NPCOMDPsychiatric/Mental Health Nurse Practitioner
RXN.0106343-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LG Behavioral Health of Colorado LLC CurrentSince Mar 1, 2023 Accepting new patients
Community Reach Center, Inc Current Accepting new patients
Edwards Medical Provider Group CurrentSince Nov 1, 2025 Accepting new patients
Edwards Medical Provider Group CurrentSince Dec 13, 2020 Accepting new patients
Serenity TMS Centers LLC CurrentSince May 1, 2022 Accepting new patients
Community Reach Center, Inc CurrentSince Mar 1, 2022 Accepting new patients
CSMN Operations Boulder CurrentSince Nov 1, 2025 Accepting new patients

Locations

11951 E Iliff Ave
Ste B
Aurora, CO 80014
Phone (855) 235-9792

2095 W 6th Ave
Ste 106
Broomfield, CO 80020
Phone (303) 448-9713

425 S Cherry St
Fl 10
Glendale, CO 80246
Phone (720) 307-6670

6950 E Belleview Ave
Ste 300
Greenwood Village, CO 80111
Phone (303) 468-8018

255 S Routt St
Ste 250
Lakewood, CO 80228
Phone (720) 712-0300

11285 Highline Dr
Northglenn, CO 80233
Phone (303) 853-3400

8931 Huron St
Thornton, CO 80260
Phone (303) 853-3433

1870 W 122nd Ave
Ste 100
Westminster, CO 80234
Phone (303) 853-3800

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Interoperability endpoints

  • Direct secure messaging: shelley.abadi.p2@direct.communityreachcenter.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1063801876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N TRIUMPH BLVD STE 500",
            "city": "LEHI",
            "state": "UT",
            "postal_code": "840436475",
            "telephone_number": "644-692-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 S ROUTT ST STE 250",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802282271",
            "telephone_number": "720-712-0300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11059 E Bethany Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800142637",
            "country_code": "US",
            "telephone_number": "303-617-2300",
            "fax_number": "303-617-2397",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8931 Huron St",
            "address_purpose": "LOCATION",
            "city": "Thornton",
            "state": "CO",
            "postal_code": "802606806",
            "country_code": "US",
            "telephone_number": "303-853-3500",
            "fax_number": "303-853-3702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABADI",
        "first_name": "SHELLEY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RXN.0106343-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0997304-NP",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RN.1648866",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000204614",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.