Individual provider Active NPI

Steven S Gittelman, PMHNP, CRNA

  • Psychiatric/Mental Health Nurse Practitioner
  • Englewood, CO
National Provider Identifier
1629099320
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0999794-NP Issued in CO
Practice address
750 W Hampden Ave Ste 215
Englewood, CO 80110-2218
Phone
(720) 729-4357
Fax
(888) 232-6842
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X APN0003520-CRNA CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.0999794-NP CO Primary

Addresses

Primary practice location

750 W Hampden Ave Ste 215
Englewood, CO 80110-2218

Mailing address

25587 Conifer Rd
Suite 105-603
Conifer, CO 80433-9067
Phone (303) 204-5129

Other practice location 1

25587 Conifer Rd
suite 105-603
Conifer, CO 80433-9067
Phone (303) 204-5129

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)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
APN.0999794-NPCOMDPsychiatric/Mental Health Nurse Practitioner
APN0003520-CRNACOMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Gittelman Anesthesia Services LLC Dba Rocky Mountain Mind and Body LLC Nurse Anesthetist, Certified Registered CurrentSince Feb 25, 2024 Accepting new patients
Roswell Clinic Corp Past Accepting new patients
Central Mass Anesthesia Affiliates Inc. Past Accepting new patients
Trinidad Area Health Association Past Accepting new patients
Womens Anesthesia Services of Denver Professional LLC Past Accepting new patients

Locations

25587 Conifer Rd
Ste 105603
Conifer, CO 80433
Phone (303) 204-5129

750 W Hampden Ave
Ste 215
Englewood, CO 80110
Phone (720) 729-4357

209 S Main St
Poplar Bluff, MO 63901

2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100

Organizations & group practices 5

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1629099320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25587 CONIFER RD",
            "address_2": "SUITE 105-603",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804339067",
            "telephone_number": "303-204-5129",
            "fax_number": "303-416-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W HAMPDEN AVE STE 215",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801102218",
            "telephone_number": "720-729-4357",
            "fax_number": "888-232-6842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25587 Conifer Rd",
            "address_2": "suite 105-603",
            "address_purpose": "LOCATION",
            "city": "Conifer",
            "state": "CO",
            "postal_code": "804339067",
            "country_code": "US",
            "telephone_number": "303-204-5129",
            "fax_number": "303-416-4246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GITTELMAN",
        "first_name": "STEVEN",
        "middle_name": "S",
        "credential": "PMHNP, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "APN0003520-CRNA",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0999794-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; 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.