Active NPI
Barbara A. Stutsman
- Marriage & Family Therapist
- Fort Collins, CO
National Provider Identifier
1619202769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 974
- Practice address
- 4115 Boardwalk Dr Unit 100
Fort Collins, CO 80525-5945 - Phone
- (970) 690-7450
- NPI assigned
- Oct 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 974 | CO | Primary |
Addresses
Primary practice location
4115 Boardwalk Dr Unit 100
Fort Collins, CO 80525-5945
Mailing address
4115 Boardwalk Dr Unit 100
Fort Collins, CO 80525-5945
Phone (970) 690-7450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 974 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1619202769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4115 BOARDWALK DR UNIT 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255945",
"telephone_number": "970-690-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 BOARDWALK DR UNIT 100",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805255945",
"telephone_number": "970-690-7450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STUTSMAN",
"first_name": "BARBARA",
"middle_name": "A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-07",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CO",
"license": "974",
"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 Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.