Organization Active NPI

Psych on Heels

  • Psychiatric/Mental Health Nurse Practitioner
  • Fruita, CO
National Provider Identifier
1427284470
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
173198 Issued in CO
Legal business name
PSYCH ON HEELS
Practice address
551 Kokopelli Blvd
Fruita, CO 81521-6305
Phone
(970) 254-1686
NPI assigned
Jun 4, 2009
Last updated
Jun 4, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Sherrie Glassmeyer
Title
Owner
Phone
(970) 254-1686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 173198 CO Primary

Addresses

Primary practice location

551 Kokopelli Blvd
Fruita, CO 81521-6305

Mailing address

2754 Compass Dr
Suite 300
Grand Junction, CO 81506-8714
Phone (970) 254-1686

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1427284470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2754 COMPASS DR",
            "address_2": "SUITE 300",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068714",
            "telephone_number": "970-254-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 KOKOPELLI BLVD",
            "city": "FRUITA",
            "state": "CO",
            "postal_code": "815216305",
            "telephone_number": "970-254-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH ON HEELS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "GLASSMEYER",
        "authorized_official_first_name": "SHERRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-254-1686"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "173198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fruita, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2009; 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.