Individual provider Active NPI

Carole A Diamond, MSN, PMHNP-BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Collins, CO
National Provider Identifier
1548297864
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RXN.0002013-NP Issued in CO
Practice address
1318 S College Ave Unit 2
Fort Collins, CO 80524-4175
Phone
(970) 237-5455
Fax
(970) 815-3775
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 130431 RN; 3548 NP CO
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 130431 RN; 3548 NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RXN.0002013-NP CO Primary

Addresses

Primary practice location

1318 S College Ave Unit 2
Fort Collins, CO 80524-4175

Mailing address

4128 Main Street
PO Box 503
Timnath, CO 80547-9997
Phone (623) 231-7831

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
I20110301000536 CO Practitioner - Nurse Practitioner 7618158395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Timnath, CO 80547
Phone (970) 581-3802

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
130431 RN; 3548 NPCOMDFamily Nurse Practitioner
RXN.0002013-NPCOMDPsychiatric/Mental Health Nurse Practitioner

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1548297864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 MAIN STREET",
            "address_2": "PO BOX 503",
            "city": "TIMNATH",
            "state": "CO",
            "postal_code": "805479997",
            "telephone_number": "623-231-7831",
            "fax_number": "970-815-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 S COLLEGE AVE UNIT 2",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805244175",
            "telephone_number": "970-237-5455",
            "fax_number": "970-815-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAMOND",
        "first_name": "CAROLE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "MSN, PMHNP-BC, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "130431 RN; 3548 NP",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CO",
            "license": "130431 RN; 3548 NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "RXN.0002013-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

Verify at the official NPI Registry.