Active NPI
Mosaic Health and Wellness LLC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
National Provider Identifier
1275177206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryLocations
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.