Individual provider Active NPI

Sarah Rose Clark, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Denver, CO
National Provider Identifier
1437932233
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0999018-NP Issued in CO
Practice address
8199 E 1St Ave
Denver, CO 80230-7163
Phone
(877) 825-8584
NPI assigned
Aug 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APN.0999018-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0999018-NP CO Primary

Addresses

Primary practice location

8199 E 1St Ave
Denver, CO 80230-7163

Mailing address

2300 Blue Mountain Ave
Berthoud, CO 80513-7929
Phone (720) 252-5503

Other identifiers 1

IdentifierTypeStateIssuer
APN.0999018-NPOtherCOSTATE LICENSE

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
I20231018004113 CO Practitioner - Nurse Practitioner 6709231285 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Minds Psychiatry LLCGroup PAC ID 7810382728, 11 clinicians

Practice addresses (Care Compare)

12760 Stroh Ranch Way
Suite 104
Parker, CO 80134-7505
Phone (720) 458-5413

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Minds Psychiatry LLC CurrentSince Oct 1, 2023 Accepting new patients
Mindful Minds Psychiatry LLC Past Accepting new patients

Locations

2299 Pearl St
Ste 205
Boulder, CO 80302
Phone (720) 458-5413

10233 S Parker Rd
Ste 300
Parker, CO 80134
Phone (720) 438-5359

12760 Stroh Ranch Way
Ste 203
Parker, CO 80134
Phone (720) 458-5413

12760 Stroh Ranch Way
Ste 104
Parker, CO 80134
Phone (720) 458-5413

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1437932233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 BLUE MOUNTAIN AVE",
            "city": "BERTHOUD",
            "state": "CO",
            "postal_code": "805137929",
            "telephone_number": "720-252-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8199 E 1ST AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802307163",
            "telephone_number": "877-825-8584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "SARAH",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "APN.0999018-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999018-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "APN.0999018-NP",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.