Active NPI
Happy Daisy LTD
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
National Provider Identifier
1245762343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 10022
- Legal business name
- HAPPY DAISY LTD
- Practice address
- 1136 E Stuart St Ste 4101
Fort Collins, CO 80525-1173 - Phone
- (970) 833-1280
- Fax
- (949) 437-2021
- NPI assigned
- Mar 29, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tenley J Roeder, NP
- Title
- Psychiatric Mental Health NP
- Phone
- (970) 833-1280
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 10022 | CO | Primary |
Addresses
Primary practice location
1136 E Stuart St Ste 4101
Fort Collins, CO 80525-1173
Mailing address
1136 E Stuart St Ste 4101
Fort Collins, CO 80525-1173
Phone (970) 833-1280
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1136 E Stuart St
Ste 4101
Fort Collins, CO 80525
Phone (970) 235-0952
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
- NPI 1184853715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1651017600000",
"number": "1245762343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1136 E STUART ST STE 4101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251173",
"telephone_number": "970-833-1280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 E STUART ST STE 4101",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805251173",
"telephone_number": "970-833-1280",
"fax_number": "949-437-2021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAPPY DAISY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-29",
"last_updated": "2022-04-27",
"certification_date": "2022-03-19",
"status": "A",
"authorized_official_last_name": "ROEDER",
"authorized_official_first_name": "TENLEY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PSYCHIATRIC MENTAL HEALTH NP",
"authorized_official_telephone_number": "970-833-1280",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "10022",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 27, 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.