Individual provider Active NPI

Julie A. Tenbrook, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coon Rapids, MN
National Provider Identifier
1164417606
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0002358-C-NP Issued in CO
Practice address
4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone
(612) 262-1220
NPI assigned
Sep 12, 2005
Last updated
Oct 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202204006NP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 34487 TN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024188254 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP95006278 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0002358-C-NP CO Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0002358-C-NP CO
Nurse Practitioner 363L00000X APN.0002358-C-NP CO

Addresses

Primary practice location

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522

Mailing address

1500 N Grant St Ste R
Denver, CO 80203-1859
Phone (720) 778-0708

Other practice location 1

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-2185

Other practice location 2

400 9th St
Florence, OR 97439-7398
Phone (458) 205-6555

Other practice location 3

1515 Village Dr
Cottage Grove, OR 97424-9700
Phone (458) 205-6555

Other practice location 4

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 5

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 6

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111

Other practice location 7

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8412

Other practice location 8

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 9

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000

Other practice location 10

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 11

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other practice location 12

2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141

Other practice location 13

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100

Other practice location 14

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 15

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 16

58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 17

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 18

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111

Other practice location 19

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 20

11600 W 2nd Pl
Lakewood, CO 80228-1527
Phone (720) 321-0000

Other practice location 21

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-8025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NM, CA, CO, MO, CT, WA, OR, MN, PA, VA, NC, AK, WI14 enrollments
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 14

Enrollment IDStateProvider typePAC IDDetails
I20040517000180 MI Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 1 organization
I20111116000426 NM Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 5 organizations
I20170417002048 CA Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 3 organizations
I20201104002895 CO Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 3 organizations
I20220322001106 MO Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 1 organization
I20220328001602 CT Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 1 organization
I20220425001878 WA Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 1 organization
I20220425002464 OR Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 7 organizations
I20230119002685 MN Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 2 organizations
I20230907000296 PA Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 1 organization
I20240124000118 VA Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 1 organization
I20240411001583 NC Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 4 organizations
I20240905002055 AK Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 2 organizations
I20250317000393 WI Practitioner - Nurse Practitioner 6709876279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians
Carilion Medical CenterGroup PAC ID 9830096585, 956 clinicians
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians
Allina Health SystemGroup PAC ID 4587573613, shared by 87 NPIs, 3,844 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians
SSM Regional Health ServicesGroup PAC ID 8921917352, 165 clinicians
Onslow Memorial Hospital IncGroup PAC ID 1456252899, 65 clinicians
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

Green Mountain Falls, CO 80819
Phone (570) 271-6144

Albuquerque, NM 87113
Phone (541) 222-2185

1 Health Cir
Lexington, VA 24450-2448
Phone (540) 463-8141

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711

11600 W 2ND PL
Sah Behavioral Health
Lakewood, CO 80228-1527
Phone (720) 321-0000

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1617 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6600

1629 E Division St
River Falls, WI 54022-1571
Phone (715) 307-6000

1906 Belleview Ave SE
Roanoke, VA 24014-1838
Phone (540) 981-7000

2017 Jefferson St SW
Roanoke, VA 24014-2419
Phone (540) 981-7925

2017 S Jefferson St
Roanoke, VA 24014-2419
Phone (540) 981-7128

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

2505 Mission Dr
Jefferson City, MO 65109-9508
Phone (573) 681-3249

2701 W Edgewood Dr
101 SSM Health Medical Group Behaviora
Jefferson City, MO 65109-5890
Phone (573) 634-5303

317 Western Blvd
Jacksonville, NC 28546-6338
Phone (910) 577-2345

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

3355 Riverbend Dr
Suite 400
Springfield, OR 97477-8800
Phone (541) 222-2402

3377 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

4010 Aerial Way
Eugene, OR 97402-9757
Phone (613) 272-4978

4050 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2522
Phone (612) 262-1220

501 Billingsley Rd
Charlotte, NC 28211-1009
Phone 7044445881704444

700 Walter Reed Dr
Greensboro, NC 27403-1128
Phone (336) 832-9600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
34487TNMDPharmacist
5154CTMDPediatrics Physician
NP95006278CAMDPsychiatric/Mental Health Nurse Practitioner
APN.0002358-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
C-APN.0002358-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
202204006NPORMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health of New England Provider Network Organization Inc Nurse Practitioner CurrentSince Mar 27, 2022 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Allina Health System CurrentSince Dec 13, 2022 Accepting new patients
SSM Regional Health Services CurrentSince May 1, 2022 Accepting new patients
Carilion Medical Center CurrentSince Aug 22, 2025 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 28, 2024 Accepting new patients
Trinity Health of New England Provider Network Organization Inc CurrentSince Mar 27, 2022 Accepting new patients
Grow Healthcare Group PA Psychiatry CurrentSince Jun 12, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Nov 21, 2023 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Allina Health System Current Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Mar 28, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 18, 2022 Accepting new patients
Regents of the University of California Current Accepting new patients
Carolinas Medical Center Psychiatry CurrentSince May 7, 2025 Accepting new patients
Catholic Health Initiatives Colorado Current Accepting new patients
Peacehealth Current Accepting new patients
Allina Health System CurrentSince Jan 4, 2025 Accepting new patients
Peacehealth Medical Group Psychiatry CurrentSince Oct 31, 2023 Accepting new patients
Regents of the University of California Psychiatry CurrentSince Feb 27, 2017 Accepting new patients
Geisinger Clinic CurrentSince May 16, 2022 Accepting new patients
Regents of the University of California CurrentSince Feb 27, 2017 Accepting new patients
Allina Health System Current Accepting new patients
Peacehealth Current Accepting new patients
Regents of the University of California Nurse Practitioner CurrentSince Jan 12, 2018 Accepting new patients
Allina Health System CurrentSince Jan 4, 2025 Accepting new patients
Tower Health Medical Group Current Accepting new patients
Senior Medical Associates, Inc. CurrentSince Jun 1, 2018 Accepting new patients
Onslow Memorial Hospital Inc CurrentSince Jun 23, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Apr 18, 2022 Accepting new patients
Carilion Medical Center CurrentSince Aug 22, 2025 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Nov 1, 2020 Accepting new patients
Peacehealth Medical Group Cottage Grove CurrentSince Oct 31, 2023 Accepting new patients
Allina Health System CurrentSince Jan 31, 2026 Accepting new patients
Peacehealth Psychiatry CurrentSince Oct 8, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Psychiatry CurrentSince Nov 21, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Tower Health Medical Group CurrentSince Jul 24, 2023 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Mar 28, 2024 Accepting new patients
Peacehealth Medical Group CurrentSince Oct 31, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Oct 28, 2024 Accepting new patients
Legacy Clinics LLC CurrentSince Apr 18, 2022 Accepting new patients
Peacehealth CurrentSince Oct 31, 2023 Accepting new patients
SSM Regional Health Services CurrentSince May 1, 2022 Accepting new patients
Pueblo Community Health Center Inc CurrentSince Nov 1, 2020 Accepting new patients
Allina Health System CurrentSince Dec 13, 2022 Accepting new patients
Tower Health Medical Group CurrentSince Jul 24, 2023 Accepting new patients
Carolinas Medical Center CurrentSince May 7, 2025 Accepting new patients
Peacehealth CurrentSince Oct 31, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Spectrum Health Hospitals Past Accepting new patients

Locations (25 of 42)

3100 Tongass Ave
Ketchikan, AK 99901
Phone (907) 225-4104

File 57326
Los Angeles, CA 90074

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5720

2810 Camino del Rio S
Ste 102
San Diego, CA 92108
Phone (619) 299-1419

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

110 E Routt Ave
Pueblo, CO 81004
Phone (719) 543-8718

300 Colorado Ave
Pueblo, CO 81004
Phone (719) 543-8718

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

1300 Hall Blvd
Fl 3
Bloomfield, CT 06002
Phone (860) 714-2376

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

7655 Solutions Ctr
Chicago, IL 60677

8175 Reliable Pkwy
Chicago, IL 60686

1210 W Saginaw St
#2
Lansing, MI 48915

1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

4050 Coon Rapids Blvd NW
Minneapolis, MN 55433
Phone (763) 236-6786

2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597

2701 W Edgewood Dr
Ste 101
Jefferson Cty, MO 65109
Phone (573) 634-5303

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

501 Billingsley Rd
#B
Charlotte, NC 28211
Phone (704) 444-2400

Interoperability endpoints

  • Direct secure messaging: jtenbrook2998508@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jtenbrook627076@direct.peacehealth.org

Organizations & group practices 52

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.

View all 52

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1164417606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 N GRANT ST STE R",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802031859",
            "telephone_number": "720-778-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 COON RAPIDS BLVD NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554332522",
            "telephone_number": "612-262-1220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "OR",
            "postal_code": "974778800",
            "country_code": "US",
            "telephone_number": "541-222-2185",
            "fax_number": "541-222-2194",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 9th St",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "OR",
            "postal_code": "974397398",
            "country_code": "US",
            "telephone_number": "458-205-6555",
            "fax_number": "458-205-6577",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1515 Village Dr",
            "address_purpose": "LOCATION",
            "city": "Cottage Grove",
            "state": "OR",
            "postal_code": "974249700",
            "country_code": "US",
            "telephone_number": "458-205-6555",
            "fax_number": "458-205-6570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-431-6111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-230-8412",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693657",
            "country_code": "US",
            "telephone_number": "423-733-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432874",
            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Temple Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376508721",
            "country_code": "US",
            "telephone_number": "423-743-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "276-523-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
            "telephone_number": "423-302-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11600 W 2nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "CO",
            "postal_code": "802281527",
            "country_code": "US",
            "telephone_number": "720-321-0000",
            "fax_number": "720-321-4165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2017 Jefferson St SW",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240142419",
            "country_code": "US",
            "telephone_number": "540-981-8025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENBROOK",
        "first_name": "JULIE",
        "middle_name": "A.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202204006NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "34487",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024188254",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "NP95006278",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0002358-C-NP",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0002358-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0002358-C-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

Verify at the official NPI Registry.