McKenna Bagan
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Denver, CO
NPI 1770128092 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1770128092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APN-0995170-NP (CO)
- Practice address
- 1490 N Lafayette St Ste 306
Denver, CO 80218-2393 - Phone
- (303) 393-1726
- Fax
- (720) 642-9892
- NPI assigned
- Nov 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN-0995170-NP | CO | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1664627 | CO | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aam Mental Health & Wellness LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
6767 S Vine St
Centennial, CO 80122
Phone (720) 292-7885
102 S Tejon St
Ste 1100
Colorado Springs, CO 80903
Phone (514) 851-3224
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APN-0995170-NP | CO | Yes |
| Women's Health Nurse Practitioner | 363LW0102X | APN-0995170-NP | CO | |
| Women's Health Nurse Practitioner | 363LW0102X | 1664627 | CO |
Addresses
Primary practice location
1490 N Lafayette St Ste 306
Denver, CO 80218-2393
Mailing address
1490 N Lafayette St Ste 306
Denver, CO 80218-2393
Phone (303) 393-1726
Other providers in Denver, CO
- Erin Baer
- Kaitlyn Danielle Baer
- Laura Susan Baer
- Dean C Baetzhold
- Jose C Baeza
- Manav Bagga
- Brian Michael Bagrosky
- Brian L Bagwell
- Faranghise S Bahhage
- Peggy D Baikie
All providers in Denver, CO · Psychiatric/Mental Health Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.