Individual provider Active NPI

Mary Catherine Parris, APN

  • Family Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1225332968
Registry record updated Jan 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP10332 Issued in CO
Practice address
6025 Delmonico Dr.
Colorado Springs, CO 80919-2251
Phone
(719) 535-0648
Fax
(719) 262-5574
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2011

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 NP10332 CO Primary

Addresses

Primary practice location

6025 Delmonico Dr.
Colorado Springs, CO 80919-2251

Mailing address

6025 Delmonico Dr.
Colorado Springs, CO 80919-2251
Phone (719) 535-0648

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
I20110823000569 CO Practitioner - Nurse Practitioner 2264602614 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP10332COMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Colorado Medical Group LLC CurrentSince Jan 1, 2015 Accepting new patients
Optumcare Colorado Medical Group LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

6340 Barnes Rd
Colorado Springs, CO 80922
Phone (719) 570-0640

2 S Cascade Ave
Ste 140
Colorado Springs, CO 80903
Phone (719) 538-2900

1625 Medical Center Pt
Ste 290
Colorado Springs, CO 80907
Phone (719) 635-5148

1633 Medical Center Pt
Colorado Springs, CO 80907
Phone (719) 636-2999

6025 Delmonico Dr
Colorado Springs, CO 80919
Phone (719) 535-0648

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1225332968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 DELMONICO DR.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192251",
            "telephone_number": "719-535-0648",
            "fax_number": "719-262-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 DELMONICO DR.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192251",
            "telephone_number": "719-535-0648",
            "fax_number": "719-262-5574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRIS",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "NP10332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.