Active NPI
Trevor Watson, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fort Collins, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APN.0994999-NP
- Practice address
- 1217 Riverside Ave
Fort Collins, CO 80524-3218 - Phone
- (970) 494-4200
- Fax
- (970) 221-7114
- NPI assigned
- Dec 15, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN.1664145 | CO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN.0994999-NP | CO | Primary |
Addresses
Primary practice location
1217 Riverside Ave
Fort Collins, CO 80524-3218
Mailing address
4856 Innovation Dr Ste B
Fort Collins, CO 80525-5540
Phone (970) 494-4200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1302 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746
1304 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746
1310 Chinook LN
Pueblo, CO 81001-1851
Phone (719) 545-2746
41 Montebello Rd
Pueblo, CO 81001-1366
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.1664145 | CO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Solutions | Current | Accepting new patients |
Locations
41 Montebello Rd
Ste 116
Pueblo, CO 81001
Phone (719) 423-1500
41 Montebello Rd
Ste 104
Pueblo, CO 81001
1310 Chinook Ln
Pueblo, CO 81001
41 Montebello Rd
Ste 100
Pueblo, CO 81001
1012 W Abriendo Ave
Pueblo, CO 81004
Phone (719) 583-2207
1304 Chinook Ln
Pueblo, CO 81001
Phone (719) 562-3222
41 Montebello Rd
Lowr LL1
Pueblo, CO 81001
41 Montebello Rd
Ste 204
Pueblo, CO 81001
Phone (719) 423-1341
417 S Indiana Ave
Trinidad, CO 81082
Phone (719) 846-4416
926 Russell Ave
Walsenburg, CO 81089
Phone (719) 738-2386
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Pueblo, CO
- NPI 1033165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1295064665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4856 INNOVATION DR STE B",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255540",
"telephone_number": "970-494-4200",
"fax_number": "970-613-4475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 RIVERSIDE AVE",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805243218",
"telephone_number": "970-494-4200",
"fax_number": "970-221-7114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATSON",
"first_name": "TREVOR",
"name_prefix": "Mr.",
"credential": "MSN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-15",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "RN.1664145",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CO",
"license": "APN.0994999-NP",
"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 Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.