Organization Active NPI

Nightingale Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Evans, CO
National Provider Identifier
1417528795
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NIGHTINGALE BEHAVIORAL HEALTH
Practice address
3829 Pueblo St
Evans, CO 80620-2728
Phone
(970) 397-0779
NPI assigned
Jul 7, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Authorized official

Name
Ms. Ronie Raye Schafer, PMHNPNPI 1215488846
Title
Owner/NP
Phone
(970) 397-0779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3829 Pueblo St
Evans, CO 80620-2728

Mailing address

2519 S Shields St Ste 1K
Fort Collins, CO 80526-1855
Phone (970) 436-4702

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1625616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1417528795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 S SHIELDS ST STE 1K",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805261855",
            "telephone_number": "970-436-4702",
            "fax_number": "970-632-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 PUEBLO ST",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806202728",
            "telephone_number": "970-397-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIGHTINGALE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "RONIE",
        "authorized_official_middle_name": "RAYE",
        "authorized_official_title_or_position": "OWNER/NP",
        "authorized_official_telephone_number": "970-397-0779",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.