Active NPI
Carol Ann Becker, MSN, APRN, BC
- Nurse Practitioner
- Fort Collins, CO
National Provider Identifier
1225148612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN.0991227-NP
- Practice address
- 525 W Oak St
Fort Collins, CO 80521-2612 - Phone
- (970) 494-4300
- NPI assigned
- Aug 30, 2006
- Last updated
- Apr 16, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN.0081501 | CO | |
| Nurse Practitioner | 363L00000X | APN.0991227-NP | CO | Primary |
| Nurse Practitioner | 363L00000X | RXN.0101019-NP | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 19275.0810 | WY | |
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | 19275.0810 | WY |
Addresses
Primary practice location
525 W Oak St
Fort Collins, CO 80521-2612
Mailing address
125 Crestridge St
Fort Collins, CO 80525-3934
Phone (970) 494-9761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312357 | Other | WY | BS OF WY |
Other names 1
- Carol Ann Ryan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0081501 | CO | MD | Nurse Practitioner |
| 19275.0810 | WY | MD | Psychiatric/Mental Health Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429142400000",
"number": "1225148612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 CRESTRIDGE ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805253934",
"telephone_number": "970-494-9761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 W OAK ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805212612",
"telephone_number": "970-494-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BECKER",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "MSN, APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2015-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "RN.0081501",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0991227-NP",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "RXN.0101019-NP",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WY",
"license": "19275.0810",
"primary": false
},
{
"code": "364SP0808X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": "WY",
"license": "19275.0810",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BS OF WY",
"identifier": "312357",
"state": "WY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "RYAN",
"middle_name": "ANN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.