Organization Active NPI

Meristem Mental Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, CO
National Provider Identifier
1619761301
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MERISTEM MENTAL WELLNESS
Practice address
2770 Arapahoe Rd Ste 701
Lafayette, CO 80026-8018
Phone
(303) 618-1273
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Laura Cannon, PMHNPNPI 1316303746
Title
Nurse Practitioner
Phone
(303) 618-1273

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 PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2770 Arapahoe Rd Ste 701
Lafayette, CO 80026-8018

Mailing address

2770 Arapahoe Rd Ste 701
Lafayette, CO 80026-8018
Phone (303) 618-1273

Other identifiers 1

IdentifierTypeStateIssuer
9000176525MedicaidCO

National Provider Directory

National Provider Directory

Locations

2770 Arapahoe Rd
Ste 701
Lafayette, CO 80026
Phone (303) 618-1273

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1619761301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 ARAPAHOE RD STE 701",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268018",
            "telephone_number": "303-618-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 ARAPAHOE RD STE 701",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800268018",
            "telephone_number": "303-618-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERISTEM MENTAL WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "303-618-1273",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000176525",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.