Active NPI
Carolyn Dinsdale Prather, MSN, APRN, FNP-BC
- Nurse Practitioner
- Wheat Ridge, CO
National Provider Identifier
1780220111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- C-APN.0001813-C-NP
- Practice address
- 6055 W 46TH Ave Ste a
Wheat Ridge, CO 80033-1812 - Phone
- (303) 423-8017
- Fax
- (720) 639-6894
- NPI assigned
- Nov 20, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2012020480 | MO | |
| Nurse Practitioner | 363L00000X | C-APN.0001813-C-NP | CO | Primary |
Addresses
Primary practice location
6055 W 46TH Ave Ste a
Wheat Ridge, CO 80033-1812
Mailing address
6055 W 46TH Ave Ste a
Wheat Ridge, CO 80033-1812
Phone (303) 423-8017
Other names 1
- Mary Carolyn Dinsdale
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012020480 | MO | MD | Registered Nurse |
| C-APN.0001813-C-NP | CO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Clinica Campesina Family Health Services | Current | Accepting new patients | |
| Lakeside Youth N Kids Pediatrics | Past | Accepting new patients |
Locations
1735 S Public Rd
Ste 203
Lafayette, CO 80026
1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 3
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.
-
- Clinic/Center
- Lafayette, CO
- NPI 1225025406
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Longmont, CO
- NPI 1558109223
-
- Primary Care Clinic/Center
- Wheat Ridge, CO
- NPI 1275903833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1780220111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6055 W 46TH AVE STE A",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800331812",
"telephone_number": "303-423-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6055 W 46TH AVE STE A",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800331812",
"telephone_number": "303-423-8017",
"fax_number": "720-639-6894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATHER",
"first_name": "CAROLYN",
"middle_name": "DINSDALE",
"name_prefix": "Mrs.",
"credential": "MSN, APRN, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-20",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2012020480",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "C-APN.0001813-C-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "DINSDALE",
"middle_name": "CAROLYN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wheat Ridge, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.