Active NPI
Calming Waters Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Colorado Springs, CO
National Provider Identifier
1710688171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230331001526 | CO | Part B Supplier - Clinic/Group Practice | 9931574183 | Practice locations: Colorado Springs, CO |
National Provider Directory
National Provider DirectoryNPI 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.