Individual provider Active NPI

Briana Payne Laurie, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1356934756
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0997714-NP Issued in CO
Practice address
4803 Boardwalk Dr Ste 120
Fort Collins, CO 80525-3798
Phone
(970) 310-3406
NPI assigned
Feb 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0997714-NP CO Primary

Addresses

Primary practice location

4803 Boardwalk Dr Ste 120
Fort Collins, CO 80525-3798

Mailing address

4803 Boardwalk Dr Ste 120
Fort Collins, CO 80525-3798
Phone (970) 310-3406

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
I20220909002554 CO Practitioner - Nurse Practitioner 0244615375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart Centered Counseling PCGroup PAC ID 8628373651, 296 clinicians

Practice addresses (Care Compare)

1770 25TH Ave
Suite 206
Greeley, CO 80634-4949
Phone (970) 310-3406

375 E Horsetooth Rd
BLDG 3101
Fort Collins, CO 80525-3197
Phone (970) 310-3406

4803 Boardwalk Dr
Suite 120
Fort Collins, CO 80525-3798
Phone (970) 310-3406

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0997714-NPCOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Centered Counseling, PC Psychiatry CurrentSince Nov 11, 2022 Accepting new patients
Heart Centered Counseling, PC Psychiatry CurrentSince Nov 11, 2022 Accepting new patients
Serenity TMS Centers LLC Psychiatry CurrentSince Oct 1, 2022 Accepting new patients
Heart Centered Counseling, PC Psychiatry Current Accepting new patients

Locations

4803 Boardwalk Dr
Ste 120
Fort Collins, CO 80525
Phone (253) 346-0394

1770 25th Ave
Ste 206
Greeley, CO 80634
Phone (303) 664-5281

255 S Routt St
Ste 250
Lakewood, CO 80228
Phone (720) 712-0300

3300 N Triumph Blvd
Ste 500
Lehi, UT 84043
Phone (801) 821-2333

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.brianalaurie@146010.advancedmd-direct.com

Organizations & group practices 4

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": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1356934756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 BOARDWALK DR STE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253798",
            "telephone_number": "970-310-3406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 BOARDWALK DR STE 120",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253798",
            "telephone_number": "970-310-3406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIE",
        "first_name": "BRIANA",
        "middle_name": "PAYNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0997714-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.