Individual provider Active NPI

Chandra Crawford

  • Psychiatric/Mental Health Nurse Practitioner
  • Broomfield, CO
National Provider Identifier
1295483410
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998853-NP Issued in CO
Practice address
2095 W 6TH Ave Ste 106
Broomfield, CO 80020-1870
Phone
(720) 526-0709
NPI assigned
Mar 16, 2022
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0998853-NP CO Primary
Student in an Organized Health Care Education/Training Program 390200000X 39020000X

Addresses

Primary practice location

2095 W 6TH Ave Ste 106
Broomfield, CO 80020-1870

Mailing address

5465 Zephyr St Unit 203
Arvada, CO 80002-2499

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
I20240125001006 CO Practitioner - Nurse Practitioner 8426401555 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Chriesl Infusion Centers LLCGroup PAC ID 4183048754, 14 clinicians
LG Behavioral Health of Colorado LLCGroup PAC ID 5193111425, 6 clinicians

Practice addresses (Care Compare)

1444 S Potomac St
Suite 220
Aurora, CO 80012-4509
Phone (720) 400-7025

2095 W 6TH Ave
106 Best Mind Behavioral Health
Broomfield, CO 80020-1870
Phone (303) 468-8018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APN.0998853-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LG Behavioral Health of Colorado LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

2095 W 6th Ave
Ste 106
Broomfield, CO 80020
Phone (303) 448-9713

6950 E Belleview Ave
Ste 300
Greenwood Village, CO 80111
Phone (303) 468-8018

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1295483410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5465 ZEPHYR ST UNIT 203",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W 6TH AVE STE 106",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201870",
            "telephone_number": "720-526-0709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "CHANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998853-NP",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": "39020000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

Verify at the official NPI Registry.