Organization Active NPI

Mosaic Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1275177206
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOSAIC HEALTH AND WELLNESS LLC
Practice address
1136 E Stuart St BLDG 4 Ste 101
Fort Collins, CO 80525-1195
Phone
(970) 599-2057
Fax
(949) 404-8845
NPI assigned
Nov 2, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Mr. Curt Eugene Vantress, APN
Title
Pmhnp
Phone
(970) 599-2057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1136 E Stuart St BLDG 4 Ste 101
Fort Collins, CO 80525-1195

Mailing address

1151 Eagle Dr # 344
Loveland, CO 80537-8020
Phone (970) 599-2057

National Provider Directory

National Provider Directory

Locations

1905 W 8th St
Ste 111
Loveland, CO 80537
Phone (657) 210-0190

NPI Registry JSON

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

{
    "created_epoch": "1572652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1275177206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 EAGLE DR # 344",
            "city": "LOVELAND",
            "state": "CO",
            "postal_code": "805378020",
            "telephone_number": "970-599-2057",
            "fax_number": "949-404-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 E STUART ST BLDG 4 STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805251195",
            "telephone_number": "970-599-2057",
            "fax_number": "949-404-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-02",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "VANTRESS",
        "authorized_official_first_name": "CURT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "970-599-2057",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.