Private Practice of Carrie Hildebrandt LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

73505 Issued in CO

Legal business name

PRIVATE PRACTICE OF CARRIE HILDEBRANDT LLC

Practice address

4251 Kipling St
Suite # 350
Wheat Ridge, CO 80033-2896

Phone

(720) 840-5392

Fax

(303) 431-3725

NPI assigned

Aug 11, 2012

Last updated

Aug 11, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Hildebrandt NP-C, AMHNP

Title

Practice Owner

Phone

(720) 840-5392

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344643200000",
    "number": "1184971939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST",
            "address_2": "SUITE # 350",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332896",
            "telephone_number": "720-840-5392",
            "fax_number": "303-431-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4251 KIPLING ST",
            "address_2": "SUITE # 350",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800332896",
            "telephone_number": "720-840-5392",
            "fax_number": "303-431-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIVATE PRACTICE OF CARRIE HILDEBRANDT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-11",
        "last_updated": "2012-08-11",
        "status": "A",
        "authorized_official_last_name": "HILDEBRANDT NP-C",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "720-840-5392",
        "authorized_official_credential": "AMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "73505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMS NPI",
            "identifier": "1427102052",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11780819",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE NURSING LICENSE",
            "identifier": "73505",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "363LP0808X",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Wheat Ridge, CO
• Providers in Wheat Ridge, CO by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.