Mindworks Wellness

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MINDWORKS WELLNESS

Practice address

1136 E Stuart St
Fort Collins, CO 80525-1195

Phone

(970) 658-0535

NPI assigned

Oct 5, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth WaltonNPI 1871918045

Title

Ceo/Owner

Phone

(970) 658-0535

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CO, AZ2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elizabeth Ann Walton, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
  • NPI 1871918045

  AZ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1570233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1073154563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 212",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806150212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251195",
            "telephone_number": "970-658-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDWORKS WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-05",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "970-658-0535"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871918045",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mindful Therapy Group of Colorado, PC
• Mindful Transitions LTD
• Minds Matter Mental Health LLC
• Minds Matter Mental Health LLC
• Mindset Reps, LLC
• Lydia Grace Minnery
• Miranda Minton, BSW
• Miramont Central Inc.
• Michelle Miranda, PMHNP
• Edward Miron, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.