Organization Active NPI

Owens & Porter PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1508337916
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OWENS & PORTER PLLC
Practice address
2625 Redwing Rd Ste 110
Fort Collins, CO 80526-2878
Phone
(720) 897-5722
Fax
(727) 800-2333
NPI assigned
Dec 10, 2018
Last updated
Oct 7, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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

Authorized official

Name
Mr. Robert Owens, PMHNP-BCNPI 1467803379
Title
Chief Medical Officer
Phone
(513) 324-0909

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 Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

2625 Redwing Rd Ste 110
Fort Collins, CO 80526-2878

Mailing address

2625 Redwing Rd Ste 110
Fort Collins, CO 80526-2878
Phone (720) 897-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190215000438 CO Part B Supplier - Clinic/Group Practice 9234477324 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Collins, CO

National Provider Directory

National Provider Directory

Locations

5277 Manhattan Cir
#X103
Boulder, CO 80303

2321 Dunn Ave
Ofc 2
Cheyenne, WY 82001

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570406400000",
    "number": "1508337916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 REDWING RD STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262878",
            "telephone_number": "720-897-5722",
            "fax_number": "727-800-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 REDWING RD STE 110",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262878",
            "telephone_number": "720-897-5722",
            "fax_number": "727-800-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWENS & PORTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-10",
        "last_updated": "2019-10-07",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "513-324-0909",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.