Individual provider Active NPI

Deimys Daily Vigil, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parker, CO
National Provider Identifier
1144846700
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0995555-NP Issued in CO
Practice address
12760 Stroh Ranch Way Ste 203
Parker, CO 80134-7507
Phone
(720) 458-5413
NPI assigned
Jun 19, 2020
Last updated
Jan 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0995555-NP CO Primary

Addresses

Primary practice location

12760 Stroh Ranch Way Ste 203
Parker, CO 80134-7507

Mailing address

16592 High Desert PL
Parker, CO 80134-3044
Phone (720) 458-5415

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
I20200706002911 CO Practitioner - Nurse Practitioner 6204259468 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Minds Psychiatry LLCGroup PAC ID 7810382728, 11 clinicians

Practice addresses (Care Compare)

12760 Stroh Ranch Way
Suite 104
Parker, CO 80134-7505
Phone (720) 458-5413

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Minds Psychiatry LLC Psychiatric/Mental Health, Geropsychiatric CurrentSince Jan 1, 2022 Accepting new patients
Mindful Minds Psychiatry LLC Past Accepting new patients
Mindful Minds Psychiatry LLC Past Accepting new patients
Mindful Minds Psychiatry LLC Past Accepting new patients
Mindful Minds Psychiatry LLC Past Accepting new patients

Locations

10233 S Parker Rd
Ste 300
Parker, CO 80134
Phone (720) 438-5359

12760 Stroh Ranch Way
Ste 104
Parker, CO 80134
Phone (720) 458-5413

12760 Stroh Ranch Way
Ste 203
Parker, CO 80134
Phone (720) 458-5413

Interoperability endpoints

  • Direct secure messaging: mindfulmindspsychiatry.deimysvigil@153763.advancedmd-direct.com

Organizations & group practices 5

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": "1592524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1144846700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16592 HIGH DESERT PL",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801343044",
            "telephone_number": "720-458-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 STROH RANCH WAY STE 203",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801347507",
            "telephone_number": "720-458-5413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "DEIMYS",
        "middle_name": "DAILY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-19",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0995555-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.