Carol P Ibach, CNS, RXN, APRN

Primary specialty

Community Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0812X

License

46632 Issued in CO

Practice address

605 E Miami Rd
Montrose, CO 81401

Phone

(970) 249-9694

Fax

(970) 249-2955

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Carol J Paradis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

State licenses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1184659377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1208",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814021208",
            "telephone_number": "970-252-3200",
            "fax_number": "970-252-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E MIAMI RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "81401",
            "telephone_number": "970-249-9694",
            "fax_number": "970-249-2955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBACH",
        "first_name": "CAROL",
        "middle_name": "P",
        "name_prefix": "Ms.",
        "credential": "CNS, RXN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0812X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Community",
            "state": "CO",
            "license": "46632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "84-0561224",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "PARADIS",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beth Humphrey, RN
• Meghan Allison Hunt, RN BSN
• Robert Lee Hunt, P.T.
• Karen Murlin Hunter, PHARM D
• Hygienist Next Door
• Romeo Gonzaga Icasiano, MD
• Roy G Icasiano, P.T.
• Karen S Ickes, MA
• Laura Ann Ickes, MS
• Ignite Change Counseling, LLC

• Clinical Nurse Specialist in Montrose, CO
• Providers in Montrose, CO by specialty
• Clinical Nurse Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.