Organization Active NPI

Preservehealth

Doing business as Preserve Mental Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Pueblo West, CO
National Provider Identifier
1184467078
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
PRESERVEHEALTH
Doing business as
Preserve Mental Health
Practice address
44 E. Spaulding Ave, BLDG 3, Ste 4
Pueblo West, CO 81007-1668
Phone
(719) 289-6002
Fax
(719) 888-1617
NPI assigned
Jun 17, 2024
Last updated
Aug 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Authorized official

Name
Sylvia Knop, NURSE PRACTITIONER
Title
Ceo
Phone
(719) 439-4067

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

44 E. Spaulding Ave, BLDG 3, Ste 4
Pueblo West, CO 81007-1668

Mailing address

1564 N Ramah Dr
Pueblo West, CO 81007-3450
Phone (719) 439-4067

Other names 1

  • Preserve Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

44 E Spaulding Ave
Ste 4
Pueblo West, CO 81007
Phone (719) 251-0398

Practitioners & affiliated clinicians

Practitioners 1

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": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723766400000",
    "number": "1184467078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 N RAMAH DR",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810073450",
            "telephone_number": "719-439-4067",
            "fax_number": "719-888-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 E. SPAULDING AVE, BLDG 3, STE 4",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810071668",
            "telephone_number": "719-289-6002",
            "fax_number": "719-888-1617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESERVEHEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A",
        "authorized_official_last_name": "KNOP",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "719-439-4067",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Preserve Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Preserve Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.