Active NPI
Nikander and Company, Inc
- Psychiatric/Mental Health Nurse Practitioner
- Boulder, CO
National Provider Identifier
1336496926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- NIKANDER AND COMPANY, INC
- Practice address
- 4450 Arapahoe Ave Ste 100
Boulder, CO 80303 - Phone
- (303) 444-6800
- Fax
- (303) 496-6802
- NPI assigned
- Aug 14, 2012
- 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
- Donna Marie Grandi-Nikander
- Title
- Owner
- Phone
- (303) 444-6800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4450 Arapahoe Ave Ste 100
Boulder, CO 80303
Mailing address
PO Box 21150
Boulder, CO 80308-4150
Phone (303) 546-9158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46870571 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
20 S 5th Ave
Ste B
Brighton, CO 80601
Phone (303) 444-6800
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
- Aurora, CO
- NPI 1689890303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671062400000",
"number": "1336496926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21150",
"city": "BOULDER",
"state": "CO",
"postal_code": "803084150",
"telephone_number": "303-546-9158",
"fax_number": "303-546-9107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4450 ARAPAHOE AVE STE 100",
"city": "BOULDER",
"state": "CO",
"postal_code": "80303",
"telephone_number": "303-444-6800",
"fax_number": "303-496-6802"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIKANDER AND COMPANY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-14",
"last_updated": "2022-12-15",
"certification_date": "2022-12-15",
"status": "A",
"authorized_official_last_name": "GRANDI-NIKANDER",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "303-444-6800"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46870571",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.