Individual provider Active NPI

Carolyn Dinsdale Prather, MSN, APRN, FNP-BC

  • Nurse Practitioner
  • Wheat Ridge, CO
National Provider Identifier
1780220111
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
C-APN.0001813-C-NP Issued in CO
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

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210330000388 CO Practitioner - Nurse Practitioner 8022425511 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2012020480MOMDRegistered Nurse
C-APN.0001813-C-NPCOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica Campesina Family Health Services CurrentSince Apr 5, 2021 Accepting new patients
Clinica Campesina Family Health Services Current Accepting new patients
Lakeside Youth N Kids Pediatrics PastSince Aug 18, 2024 Accepting new patients

Locations

1735 S Public Rd
Ste 203
Lafayette, CO 80026

1735 S Public Rd
Lafayette, CO 80026
Phone 30366530361061

Interoperability endpoints

  • FHIR API: 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.

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

Verify at the official NPI Registry.