Individual provider Active NPI

Nelli Faridovna Murtazina, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Monument, CO
National Provider Identifier
1720690399
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11009505 Issued in CO
Practice address
1840 Woodmoor Dr Ste 102
Monument, CO 80132-9083
Phone
(719) 622-6522
NPI assigned
Aug 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11009505 CO Primary
Family Nurse Practitioner 363LF0000X F10191147 CO

Addresses

Primary practice location

1840 Woodmoor Dr Ste 102
Monument, CO 80132-9083

Mailing address

2335 Coralbell GRV Apt 102
Colorado Springs, CO 80910-1364
Phone (407) 802-6595

Other names 1

  • Nelli Faridovna Saffold Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220526000734 FL Practitioner - Nurse Practitioner 6608254057

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

108 W Citrus St
Altamonte Springs, FL 32714-2502

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F10191147FLMDFamily Nurse Practitioner
APRN11009505FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Psychiatry of Florida Inc CurrentSince Mar 1, 2022 Accepting new patients
Colorado Recovery TMS, LLC PastSince Jun 1, 2021 Accepting new patients
Fountain Valley Health Care LLC Psychiatric/Mental Health Past Accepting new patients
Fountain Valley Health Care LLC Family Past Accepting new patients

Locations

108 W Citrus St
Altamonte Springs, FL 32714
Phone (321) 972-9215

1495 S Volusia Ave
Ste 203
Orange City, FL 32763
Phone (386) 218-6335

Interoperability endpoints

  • Direct secure messaging: nelli.murtazina@476645775638532.direct.elationemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1720690399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 CORALBELL GRV APT 102",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809101364",
            "telephone_number": "407-802-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 WOODMOOR DR STE 102",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801329083",
            "telephone_number": "719-622-6522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTAZINA",
        "first_name": "NELLI",
        "middle_name": "FARIDOVNA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-17",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APRN11009505",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "F10191147",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NELLI",
            "last_name": "SAFFOLD",
            "middle_name": "FARIDOVNA",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monument, CO

Sources for this page

Verify at the official NPI Registry.