Organization Active NPI

Calming Waters Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Colorado Springs, CO
National Provider Identifier
1710688171
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CALMING WATERS PSYCHIATRY LLC
Practice address
7222 Commerce Center Dr Ste 220
Colorado Springs, CO 80919-2631
Phone
(719) 650-0438
Fax
(719) 418-2276
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Authorized official

Name
Lorraine Florence Mattingly, NP
Title
Pmhnp-BC
Phone
(719) 650-0438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

7222 Commerce Center Dr Ste 220
Colorado Springs, CO 80919-2631

Mailing address

12662 Timberglen Ter
Colorado Springs, CO 80921-3759
Phone (719) 439-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230331001526 CO Part B Supplier - Clinic/Group Practice 9931574183 Practice locations: Colorado Springs, CO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1710688171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12662 TIMBERGLEN TER",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809213759",
            "telephone_number": "719-439-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 COMMERCE CENTER DR STE 220",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192631",
            "telephone_number": "719-650-0438",
            "fax_number": "719-418-2276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALMING WATERS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_middle_name": "FLORENCE",
        "authorized_official_title_or_position": "PMHNP-BC",
        "authorized_official_telephone_number": "719-650-0438",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.