Individual provider Active NPI

Deanna L McNulty, DNP

  • Family Nurse Practitioner
  • Florissant, CO
National Provider Identifier
1194208736
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN.0994084-NP Issued in CO
Practice address
18100 County Rd 1
Florissant, CO 80816-9404
Phone
(719) 839-1923
Fax
(844) 681-3288
NPI assigned
Sep 10, 2018
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.0994084-NP CO Primary

Addresses

Primary practice location

18100 County Rd 1
Florissant, CO 80816-9404

Mailing address

PO Box 189
Florissant, CO 80816-0189
Phone (719) 839-1923

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
I20200304001336 CO Practitioner - Nurse Practitioner 3375574007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

18100 County Rd
Suite 1
Florissant, CO 80816-9404
Phone (719) 839-1923

406 E Grace Ave
Select Physical Therapy
Woodland Park, CO 80863-3127
Phone (719) 687-3767

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Florissant Family Medicine, LLC CurrentSince Jan 15, 2020 Accepting new patients

Locations

18172 County Road 1
Florissant, CO 80816
Phone (303) 810-6408

18172 County Road 1
Ste 1
Florissant, CO 80816
Phone (719) 839-1923

Interoperability endpoints

  • Direct secure messaging: deanna.mcnulty.1@26070.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26070/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1194208736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "808160189",
            "telephone_number": "719-839-1923",
            "fax_number": "833-539-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18100 COUNTY RD 1",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "808169404",
            "telephone_number": "719-839-1923",
            "fax_number": "844-681-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "DEANNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0994084-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, CO

Sources for this page

Verify at the official NPI Registry.