Individual provider Active NPI

Lauri E Liverman, APN. (RN, MSN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1508911512
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0990418-NP Issued in CO
Practice address
2501 Walnut St
Boulder, CO 80302-5751
Phone
(303) 481-2366
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APN.0990418-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0990418-NP CO Primary

Addresses

Primary practice location

2501 Walnut St
Boulder, CO 80302-5751

Mailing address

2501 Walnut St
Boulder, CO 80302-5751
Phone (505) 401-6211

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
I20250228003534 CO Practitioner - Nurse Practitioner 8325569734 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Boulder Center for TMS LLCGroup PAC ID 3678014362, 5 clinicians

Practice addresses (Care Compare)

2501 Walnut St
Suite 207
Boulder, CO 80302-5753
Phone (303) 449-0318

Hospital & facility affiliations

  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0990418-NPCOMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Boulder Center for TMS LLC CurrentSince Feb 1, 2025 Accepting new patients

Locations

2501 Walnut St
Ste 201
Boulder, CO 80302
Phone (303) 715-9900

2501 Walnut St
Boulder, CO 80302
Phone (303) 200-4780

2501 Walnut St
Ste 207
Boulder, CO 80302
Phone (303) 449-0318

2501 Walnut St
Ste 204
Boulder, CO 80302
Phone (303) 444-7228

2501 Walnut St
Ste 200
Boulder, CO 80302
Phone (303) 481-2366

Organizations & group practices 1

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.

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1508911512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025751",
            "telephone_number": "505-401-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 WALNUT ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803025751",
            "telephone_number": "303-481-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIVERMAN",
        "first_name": "LAURI",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "APN. (RN, MSN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "APN.0990418-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0990418-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.