Deirdre Brett Fraller, DNP, ANP-C, PMHNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APN.0992458-NP Issued in CO

Practice address

430 Indiana Street Suite 100
Golden, CO 80401-2605

Phone

(303) 736-9697

Fax

(720) 306-5464

NPI assigned

Jun 28, 2012

Last updated

May 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Colorado Neurology Center PLLC

  • Neurology Physician
  • Aurora, CO
  • NPI 1851796627
  Medicare reassignment NPD
• Owl and Eagle Enterprises, LLC

  dba Owl & Eagle Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Golden, CO
  • NPI 1548852585
  Medicare reassignment NPD
• One Wellness LLC

  dba ONE Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Golden, CO
  • NPI 1669303954
  NPD Authorized official
• Owl and Eagle Enterprises, LLC

  dba Owl & Eagle Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
  • NPI 1437893906
  NPD

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1386908861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 INDIANA STREET SUITE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012605",
            "telephone_number": "303-736-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 INDIANA STREET SUITE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804012605",
            "telephone_number": "303-736-9697",
            "fax_number": "720-306-5464"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7350 E Progress Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greenwood Village",
            "state": "CO",
            "postal_code": "801112130",
            "country_code": "US",
            "telephone_number": "303-736-9697",
            "fax_number": "720-306-5464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRALLER",
        "first_name": "DEIRDRE",
        "middle_name": "BRETT",
        "name_prefix": "Ms.",
        "credential": "DNP, ANP-C, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0992458-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO RXN (FULL PRESCRIPTIVE AUTHORITY)",
            "identifier": "0102077-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL",
            "identifier": "84-0832336",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20770057",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO RN",
            "identifier": "1640875",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000162792",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO APN",
            "identifier": "0992458-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laurelle Foster
• Douglas A Foulk, MD
• Alexandra Rae Fouts, PA-C
• Rebecca Fowler, PT
• James D Fox, M.D.
• Chase L Frantz
• Jordan Fred
• James Evan Freels, DPT
• Matthew Freeman
• Scott Ryan Freeman, DMD

• Nurse Practitioner in Golden, CO
• Providers in Golden, CO by specialty
• Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.

Verify at the official NPI Registry.