Embracing Hope Wellness Clinic LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EMBRACING HOPE WELLNESS CLINIC LLC

Practice address

40047 County Road 31
Ault, CO 80610-9721

Phone

(970) 658-9269

NPI assigned

Apr 5, 2022

Last updated

Apr 5, 2022By 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

Caren BlantinNPI 1205464674

Title

Provider/Practice Owner

Phone

(970) 658-9269

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

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.

• Caren B. Blantin

  • Nurse Practitioner
  • Ault, CO
  • NPI 1205464674

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1215678149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 343",
            "city": "SEVERANCE",
            "state": "CO",
            "postal_code": "805460343",
            "telephone_number": "970-658-9269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40047 COUNTY ROAD 31",
            "city": "AULT",
            "state": "CO",
            "postal_code": "806109721",
            "telephone_number": "970-658-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING HOPE WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "BLANTIN",
        "authorized_official_first_name": "CAREN",
        "authorized_official_title_or_position": "PROVIDER/PRACTICE OWNER",
        "authorized_official_telephone_number": "970-658-9269"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Bison Psychiatry, LLC
• Mikaela Paige Blum, OTR/L
• Katrina Lynne Boschmann, LPC
• Christine Dodge
• Christine Renee Dodge, SA-C
• Tara Grant, FNP
• Healing Pathways LLC
• Kari Hettinger, RDH
• Bambi Hill, LMT
• Amy L Myhre, LSW, MSW, SWC

• Psychiatric/Mental Health Nurse Practitioner in Ault, CO
• Providers in Ault, CO by specialty
• Psychiatric/Mental Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.