Individual provider Active NPI

Lanona D Rezac, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Salida, CO
National Provider Identifier
1194210898
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
C-APN.0104759-C-NP Issued in CO
Practice address
7166 County Road 154
Salida, CO 81201-9455
Phone
(719) 276-5488
NPI assigned
Jun 25, 2018
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0104759-C-NP CO Primary

Addresses

Primary practice location

7166 County Road 154
Salida, CO 81201-9455

Mailing address

PO Box 840
Seminole, TX 79360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, TX, CO3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20200311000592 MD Practitioner - Nurse Practitioner 7911259312 Reassigns benefits to 1 organization
I20240118000827 TX Practitioner - Nurse Practitioner 7911259312 Reassigns benefits to 1 organization
I20250922003918 CO Practitioner - Nurse Practitioner 7911259312

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3225 Independence Rd
Canon City, CO 81212-9380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C-APN.0104759-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Virtual Care CurrentSince Feb 1, 2024 Accepting new patients
West Central Mental Health Center, Inc. CurrentSince Aug 15, 2025 Accepting new patients
West Central Mental Health Center, Inc. Current Accepting new patients
Advantage Psychiatric Services LLC CurrentSince Jan 19, 2020 Accepting new patients
Advantage Psychiatric Services LLC CurrentSince Jan 19, 2020 Accepting new patients
West Central Mental Health Center Inc. CurrentSince Aug 15, 2025 Accepting new patients
Texas Health Virtual Care Current Accepting new patients

Locations

3225 Independence Rd
Canon City, CO 81212
Phone (719) 275-2351

7166 County Road 154
Salida, CO 81201
Phone (719) 276-5488

306 W Pulaski Hwy
Elkton, MD 21921
Phone 4106863629400

5024 Campbell Blvd
Ste A
Nottingham, MD 21236
Phone 4106863629110

9250 Amberton Pkwy
Dallas, TX 75243
Phone (214) 860-6300

240 N Miller Rd
Mansfield, TX 76063
Phone (214) 432-8322

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1194210898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840",
            "city": "SEMINOLE",
            "state": "TX",
            "postal_code": "79360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7166 COUNTY ROAD 154",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019455",
            "telephone_number": "719-276-5488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZAC",
        "first_name": "LANONA",
        "middle_name": "D",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0104759-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salida, CO

Sources for this page

Verify at the official NPI Registry.